Description

Job Id: 67406

Senior Actuarial Analyst
This position will be responsible for developing and maintaining actuarial models, analyzing data, and providing strategic insights to support the pricing and bidding process for Medicare Advantage plans. You will have a deep understanding of Medicare Advantage regulations, risk adjustment methodologies, and a strong analytical background. Be instrumental in developing and executing pricing strategies, ensuring compliance with regulatory guidelines, and providing critical insights to enhance the performance of our Medicare Advantage plans.

This is a remote position for candidates residing in Oregon, Washington, and California.

Senior Actuarial Analyst Responsibilities
Developing and implementing bid pricing strategies as well as analytical rigor and speed for assessing product design impacts on financial performance for Medicare Advantage plans to optimize performance.
Analyzing and interpreting regulatory guidance to ensure compliance with Medicare Advantage bid requirements.
Collaborating with product, market, executive, and other cross-functional teams to incorporate market trends, competitive analysis, and organizational goals into pricing decisions.
Developing key inputs and/or assumptions in support of the annual Medicare Advantage bid.
Conducting sensitivity analyses and scenario testing to assess the impact of various factors on bid pricing outcomes.
Analyzing and interpreting healthcare claims data, enrollment data, and other relevant information to identify trends and patterns.
Working closely with data analysts and actuaries to ensure the accuracy and completeness of data used in the pricing process.
Staying informed of changes in risk adjustment methodologies and assess their implications for pricing and financial performance.
Generating regular reports for senior management, highlighting key performance indicators and providing insights into financial results.
Analyzing large datasets to identify trends, patterns, and areas for improvement in pricing methodologies.

Senior Actuarial Analyst Qualifications Required
Bachelor's Degree in Statistics, Mathematics, Actuarial, Finance, or another related field of study.
Successful completion of 4+ exams of the Associate of the Society of Actuaries (ASA) designation.
5+ years of healthcare actuarial experience.
2+ years of actuarial experience.
Experience with writing queries in SQL or another programming language.
Demonstrated experience applying project management skills in data-related and financial analysis projects.

Preferred
Associate of the Society of Actuaries (ASA) designation.
Fellow or Associate in the Society of Actuaries (FSA or ASA).
2+ years of Medicare Bid experience.

Salary: $81,786 to $129,480/yr. (DOE)

Benefits
A comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more.

About VanderHouwen
VanderHouwen is an award-winning, Women-Owned, WBENC certified professional staffing firm. Founded in 1987, VanderHouwen has been successfully placing experienced professionals throughout the Pacific Northwest and nationwide. Our recruitment teams are highly specialized in either Technology and IT, Engineering, or Accounting and Finance career markets. Our recruiters value building meaningful, professional relationships with each candidate as well as developing honed knowledge of companies' staffing needs and workplaces. Partner with us to land your next exciting career.

VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. VanderHouwen does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable local, state or federal civil rights laws.

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