Actuarial Analyst

Agilon Health • Remote - TX, TX

3d • $87,000 - $106,600 • Remote

About The Position

This position is not eligible for current or future sponsorship or employer-supported work authorization by agilon health. Applicants must be able to accept and maintain employment with agilon health in the United States for the full duration of their employment without sponsorship or work authorization support. The Actuarial Analyst will work under the guidance of a regional manager to update medical margin models for their respective markets. Models will inform monthly close results as well as budget/quarterly forecasts. The Actuarial Analyst will be responsible for identifying drivers of prior period development as well as providing insight into emerging trends in the market. He/she will prepare audit documentation and perform analyses to support ad hoc requests from Market Finance and Business Development.

Requirements

• 1-2 years of relevant actuarial experience within a healthcare and/or managed care organization
• Experience with Medicare Advantage products preferred
• Bachelor’s degree in Actuarial Science, Math, Economics or related field
• 2+ actuarial exams passed
• Ability to manipulate and interpret large data sets (particularly health care claims and membership data)
• Experience in actuarial field including the knowledge of best techniques for analyzing healthcare issues and modeling solutions
• Familiar with IBNR reserve development, product pricing
• Health insurance product knowledge with a particular focus on Medicare Advantage
• Proficient in Excel and SQL
• Strong communication, both written and verbal
• Ability to work in a fast-paced environment where internal/external client satisfaction is key
• Entrepreneurial and innovative spirit

Responsibilities

• Update medical margin models for monthly close process
• Research and identify prior period development in medical margin
• Use med econ tools to provide deep insight of trend drivers
• Prepare materials for presenting close results to Market Finance leaders
• Calculate final cash settlements for MA payer contracts
• Prepare internal/external audit documentation
• Inform assumptions for budget/quarterly forecasts
• Perform analyses to support adhoc requests from Market Finance team
• Support business development/payer contracting assumptions
• Other duties as assigned
• Exemplify companies’ core values
• Collaborate with Market Finance, FP&A, Accounting, Med Econ, and others

Benefits

• The passion to change the way healthcare is delivered permeates everyone and everything at agilon health. Working together we can use our expertise to make a difference in the lives of patients and physicians alike. We can bring the joy back to practicing medicine for physicians and improve the care experience for patients across the country.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level