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Senior Actuarial Analyst
AltaisSenior Actuarial Analyst at Altais focusing on Medicare risk adjustment estimates and financial analysis. Collaborate and provide insights through data synthesis and complex revenue analysis.
About the role
Key responsibilities & impact- Generate and distribute routine reports to support risk adjustment actuarial best estimate calculation and financial reporting.
- Extract and compile information from various systems to support executive decision-making.
- Research and develop reports and analysis for senior management; effectively communicate results.
- Assist in the preparation of forecasts/filings related to risk adjustment.
- Developing risk score reporting with Cozeva, internal claims and Power BI, organizing and managing large and varied data sets, analyzing healthcare data for decision support, and communicating findings.
- Collaborate with operational staff to analyze, understand, modify, and communicate models and results.
- Make recommendations to management based on relevant findings.
- Utilizes Power BI to display relevant reporting within a refresh cycle.
- Analyzes key trends and performance related to clinical programs, provider network performance, other programs or practices, and providers of health care.
- Peer review and train junior level actuarial analyst including prioritization of work and projects.
Requirements
What you’ll need- Bachelor’s degree in quantitative discipline such as accounting, engineering, economics, finance, statistics, or mathematics from an accredited program or similar
- 5 or more years of experience working with data and actuarial models.
- 5 or more years working with managed care application like GE Centricity, Epic, Cerner etc.
- 5 or more years of experience in the healthcare industry either working in a hospital, health plan or managed care environment preferred.
- 5 or more years of experience in financial modeling in payer and provider negotiations and medical cost management strategies.
- 5 or more years of experience in working in rapid cycle, decision support role in a very dynamic environment.
Benefits
Comp & perks- Excellent medical, vision, and dental coverage
- 401k savings plan with a company match
- Flexible time off and 9 Paid Holidays
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data analysisfinancial modelingrisk adjustmentactuarial modelsforecastingreport generationdata extractiondata compilationtrend analysisdecision support
Soft Skills
communicationcollaborationtrainingrecommendation makingorganizational skillsprioritization