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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong analytical skills and technical expertise in data analysis, reporting, and actuarial practices within the healthcare sector. Proficient in utilizing Microsoft Office Suite and SQL to support financial forecasting and improve operational efficiencies.
Highest-signal resume keywords
Actuarial ExperienceData AnalysisMedicare AdvantageSQL ProficiencyMicrosoft Excel
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisActuarial ScienceStatistical AnalysisForecastingReport DevelopmentQuantitative AnalysisProblem SolvingMathematics SkillsWorkflow StreamliningAutomation
Soft Skills
Communication SkillsInterpersonal SkillsIntellectual CuriosityContinuous Improvement Mindset
Tools & Technologies
Microsoft Office SuiteSQLData Warehouse
Industry Keywords
MedicareMedicaidPart DHealth InsuranceManaged CareProvider Contracting
Tech Stack
Tools & technologiesSQL
About the role
Key responsibilities & impact- Prepare and analyze data for Part D and develop comparisons between actual versus forecast.
- Support ad-hoc analytics such as provider contracting, product development, and other customized projects to suit business needs.
- Utilize the Data Warehouse efficiently to develop reports and extract data fields.
- Analyze historical data trends in order to establish reasonable assumptions.
- Assist the actuarial team with the development of Medicare Advantage bid pricings by keeping track of various input parameters and testing benefit scenarios.
- Assist the financial budget and forecasts of pharmacy costs and the ongoing monitoring of actual results.
- Proactively identify opportunities to streamline workflows, enhance model efficiency, and improve automation of existing processes.
- Bring intellectual curiosity and a continuous improvement mindset to all assigned work, challenging the status quo where appropriate.
Requirements
What you’ll need- Bachelor’s degree in Actuarial Science, Mathematics, or Statistics or any other major with significant quantitative course work required.
- 2-4 years of actuarial experience with healthcare, health plan, or managed care focus, or comparable actuarial consulting experiences.
- Experience with Medicare, Medicaid, Part D, commercial health insurance, or network contracting for a health plan is highly preferred.
- Performs work under general supervision.
- Handles moderately complex issues and problems, and refers more complex issues to higher-level staff.
- Possesses solid working knowledge of subject matter.
- Technical expertise - Strong analytical skills. Microsoft Office Suite (Word, Excel including formulas, V-Lookups, and pivot tables, PowerPoint, Access, Outlook, Teams), and SQL at advance level is required.
- Problem Solving - Basic problem solving skills and strong mathematics skills.
- Communication - Good written and verbal communication and interpersonal skills.
Benefits
Comp & perks- An annual employee bonus program
- Robust Wellness Program
- Generous paid-time-off (PTO)
- Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
- Excellent 401(k) Retirement Saving Plan with employer match and contribution
- Robust employee recognition program
- Tuition reimbursement
