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Performs actuarial functions by applying expanded quantitative skills and analytical methodologies. Leverage strong technical skills to recommend solutions and demonstrate and advanced understanding of actuarial concepts and business acumen. Set own priorities within pre-established overall deadlines. Complete tasks independently with some direction from supervisor.
Job Responsibility:
Develops and communicates pricing models and strategies for Actuarial (ADP) healthcare insurance products and services
Develops and validates actuarial assumptions, methodologies, and models by ensuring adherence to actuarial standards and guidelines, such as those set by the Society of Actuaries (SOA)
Conducts actuarial analysis to assess the financial risks and implications of healthcare programs, insurance products, and benefit plans
Completes financial forecasting and projection analysis to estimate future healthcare costs, revenue, and profitability
Analyzes claims data to assess patterns, trends, and cost drivers and identifies opportunities for cost containment, fraud detection, and quality improvement in claims processing and reimbursement
Develops risk mitigation strategies, including reinsurance, risk-sharing agreements, and reserve adequacy analysis
Under general supervision, provides accurate and timely financial information to internal stakeholders, external auditors, and regulatory bodies
Encourages team members to explore innovative solutions and approaches to operational challenges
Identifies opportunities of areas of concern and recommends corrective actions to management for review and resolution
Requirements:
Passed at least 2 actuarial exams
2-5 years of actuarial experience in a healthcare setting
Demonstrated success in collaborating with others
Bachelor's degree preferred/specialized training/relevant professional qualification
Nice to have:
Experience in Medicare
What we offer:
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching