Actuary

• Reserving: Develop and maintain actuarial models to estimate liabilities for Incurred but Not Paid (IBNP) claims across all lines of business (Medicare, Medicaid, and Commercial).
• Financial Planning and Analysis: Support budgeting and forecasting by maintaining and improving P&L models and forecasting tools, as well as developing new tools to identify emerging trends and improve predictive accuracy.
• Cost Trend Evaluation: Manage the Actuarial Trend Model used in operational and financial decision-making and analyze healthcare utilization patterns and cost trends to identify areas for improvement and opportunities for cost savings.
• Actuarial Studies: Develop actuarial studies relating to items such as seasonality, high claim predictive modeling, trend, and inventory levels.
• Audit and Reporting: Maintain, develop, and create ad hoc audit documentation in support of a public company, adhering to SOX compliance standards.
• Infrastructure Development: Build robust analytical infrastructure, including comprehensive reports and dashboards, to monitor expense experience.
• Cross-Functional Collaboration: Work closely with teams across ACO, Analytics, Data, Finance, M&A, Contracting, Medical Economics, and Operations.
• Ad Hoc Analysis: Support a fast-growing company with diverse actuarial projects and requests as they arise.
• Other duties as assigned.

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Senior Analyst – Actuary