Description and Requirements
The Actuarial Analyst for Medicare will work as part of a team of actuaries responsible for performing all actuarial analysis for Healthfirst's Medicare products, including pricing, forecasting, risk score analytics, data analysis, experience monitoring, reporting, etc.
Duties and Responsibilities:
- Handle premiums, claims, enrollment, and administrative expense data for reports to government and regulatory entities (such as CMS, NYSID, NYDOH, etc.) as well as routine internal reports
- Perform risk score, pricing and other data analytics for Medicare products
- Assist in the Medicare Part C and Part D bid process, including bid preparation and desk review follow-ups
- Monitoring experience and analyzing performance of Medicare products
- Other ad-hoc analysis on Medicare products
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Required Qualifications:
- Bachelor's degree in Actuarial Science, Math, Economics, Finance or any related degree
- Strong Excel skills, including ability to create pivot tables, v-lookups, graphs/visuals and perform troubleshooting
- Ability to collect, analyze and summarize qualitative/quantitative data
- Strong planning and organizational skills, with an ability to establish a strategic direction and subsequently outline initiatives
- Strategic thinker, creative, innovative, and execution-focused, turning ideas into measurable and meaningful results
- Ability to work on multiple projects
- Exceptional verbal and written communication skills
Preferred Qualifications:
- Passed 1 to 2 Actuarial Exams
- Experience with programming/coding, preferably SAS, SQL, or Python
- Experiencing working with large and complex datasets, including both financial and healthcare data
- Work experience within Managed Care, Medicare/Commercial Healthcare or Hospital in the actuarial field
Compliance & Regulatory Responsibilities: N/A
License/Certification: NA
Hiring Range:
- Greater New York City Area (NY, NJ, CT residents): $67,200 - $97,155
- All Other Locations (within approved locations): $59,800 - $88,910
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.