Actuarial Analyst II

South Florida Community Care Network•Sunrise, FL

11d•Hybrid

About The Position

Community Care Plan (CCP) is seeking an actuarial analyst to join its small, growing actuarial team. This fast-paced role offers the opportunity to influence data-driven business decisions, gain practical exposure to all facets of the business, and help shape company strategy through forecasting and analysis of key business drivers. Work will be visible to senior executive leadership and will extend beyond the traditional scope of an actuarial role. The position is designed for an early-career actuary who wants broad exposure to healthcare business, ownership of their work, and support toward the ASA/FSA through CCP’s Actuarial Study Program. The analyst will receive direct supervision and mentorship from an experienced actuary and collaborate on traditional and non-traditional actuarial projects with finance, accounting, medical economics, IT, pharmacy, and external vendors. The role supports actuarial functions and modeling across Medicaid, CHIP (FHK), ACA, Employee Plan, and ASO lines of business. It includes regular actuarial analysis, support for value-based care arrangements, monitoring of business performance, audit-related work, and preparation of financial filings. The position currently follows a hybrid work schedule, which may change based on company needs.

Requirements

Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or a related field.
At least two actuarial exams passed and active pursuit of the ASA; three to four exams are preferred.
At least one year of relevant experience, preferably actuarial experience in the healthcare industry.
Advanced proficiency in Microsoft Excel.
Fundamental knowledge of core health actuarial concepts, including claims completion and IBNR, trend, PMPM/Cost per Claim/Cost per Utilizer, and sensitivity analysis.
Comfort working with raw data and large claims, membership, and premium datasets in SQL and Excel, including writing queries, reconciling to source totals, and validating results.
Strong written and verbal communication skills, with the ability to present findings clearly and effectively.
Ability and desire to learn and adapt quickly while maintaining quality performance.
Strong organization and attention to detail, with the ability to manage overlapping deadlines and competing priorities.
Openness to new tools and ways of working, including automation and AI-assisted analysis, and sound judgment in checking their output.
Regularly document work so others can reference, review, and reproduce it.
Candidates selected for the position must complete a Level 2 background screening through the Florida Care Provider Background Screening Clearinghouse.

Nice To Haves

Three to four actuarial exams passed.
Relevant actuarial experience in the healthcare industry.
Proficiency in Microsoft SQL Server.

Responsibilities

Support actuarial functions and modeling efforts across Medicaid, CHIP (FHK), ACA, Employee Plan, and ASO lines of business.
Conduct actuarial analyses, including IBNR estimation, trend analysis, rating support and advocacy, and other reserve valuations.
Provide actuarial support for value-based care arrangements through financial modeling, quality monitoring, and risk analysis.
Monitor and analyze emerging unit cost and utilization trends, membership, revenue, and risk score performance.
Evaluate medical expense performance against plan expectations, including cohort-level insights, and collaborate across functions to support cost-containment efforts.
Assist with data preparation for diversified business needs, collaborating directly with external vendors as necessary.
Participate in audit-related actuarial work, including data requests and reconciliation efforts for external auditors.
Assist in preparing monthly, quarterly, and annual financial filings to assess industry performance over time and meet regulatory requirements.
Participate in CCP’s actuarial study program in pursuit of at least an ASA, sitting for a minimum of one actuarial exam per year.
Perform other job-related duties assigned by a supervisor or management.