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Senior Actuarial Analyst

  • R0010138
  • 1505 NW 167 St Miami Gardens, Miami, FL 33169

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ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

  • Under limited supervision, applies knowledge of mathematics, probability, statistics, and principles of business to enhance the Incurred But Not Reported (IBNR) models.
  • Under limited supervision, updates and enhances actuarial models for pricing and forecasting. 
  • Works with a team of financial analysts to assist with the actuarial components of the annual financial plan. Assists in the determination of revenue, reserves and/or cash flow projections.
  • Proactively identifies data patterns and trends to provide insight which aids decision making capability for business planning, process improvement, solution assessment, etc.
  • Analyzes and validates payer claims data.  Assists markets to identify factors driving claims cost and estimates historical and prospective trends.
  • Performs actuarial analysis of CMS public information.  Calculates statistical and probability forecasts and models from data.
  • Independently runs CMS risk adjustment model to calculate member level risk scores.
  • Provides actuarial support to markets.
  • Conducts actuarial research, experience studies, and statistical analyses and calculations.
  • Recommends actions for future developments and strategic business opportunities.
  • Performs other duties as assigned and modified at manager’s discretion.
Additional Job Description

KNOWLEDGE, SKILLS AND ABILITIES:

  • Works under limited guidance and supervision
  • Expert in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook
  • Software skills in Visual Basic, SQL and SAS
  • Good analytical, presentation and communication skills
  • May be required to travel locally, regionally and nationwide up to 10% of the time
  • Spoken and written fluency in English
  • This job requires use and exercise of independent judgment

EDUCATION AND EXPERIENCE CRITERIA:

  • Bachelor’s degree in actuarial science, mathematics, economics, statistics or finance is preferred; equivalent experience may substitute for degree on a year-for-year basis above the minimum required
  • Completion of 4+ actuarial exams; on track to ASA/FSA designation
  • Four (4) or more years’ related work experience required; healthcare experience in a Medicare Advantage environment is preferred

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