Actuarial Associate (Full-time Remote, North Carolina Based)

Alliance Health•Fayetteville, NC
•$79,425 - $101,267•Remote

About The Position

The Actuarial Associate analyzes and interprets data related to cost, membership, capitation, rate-setting, Incurred But Not Reported (IBNR), and other areas as needed. The role uses SQL, Excel, and other tools to model data, assess financial risk, and develop exhibits that help communicate financial outcomes. The associate serves as a subject matter expert for internal and external stakeholders and partners with teams to produce actionable insights. This is a full-time remote position for a North Carolina-based candidate. Some travel to the home office for onsite meetings may be required. Employment is contingent on satisfactory background and credit checks conducted after offer acceptance and before the start date.

Requirements

  • Bachelor’s degree in Actuarial Science, Mathematics, Business, or a related field from an accredited college or university.
  • At least three years of related experience in an actuarial capacity.
  • Passed at least two Society of Actuaries (SOA) actuarial examinations.
  • Knowledge of Microsoft Office.
  • Verbal communication skills.
  • Organizational skills.
  • Complex problem-solving skills.
  • Time management and prioritization skills.
  • Written communication and reporting skills.
  • SQL skills.

Nice To Haves

  • Experience with financial close processes.
  • Experience supporting a health plan.

Responsibilities

  • Evaluate information to determine potential risks and their financial impact on the organization.
  • Analyze actual versus budgeted PMPM rates by Category of Service and evaluate the causes of healthcare expense patterns.
  • Support the development, maintenance, and preparation of IBNR models, lag schedules, and liability calculations.
  • Adjust and refine IBNR models to account for organizational or environmental changes and additional risks.
  • Assist with developing assessments and reporting for Value-Based Contracts.
  • Perform financial reconciliation for risk-sharing agreements.
  • Evaluate the feasibility and opportunity of new Value-Based Contract arrangements.
  • Become an internal subject matter expert on State Rate developments.
  • Analyze state-provided rate books to validate assumptions.
  • Assist the Actuarial Function in creating documented procedures to support Completion and IBNR.
  • Present and communicate complex statistical and mathematical information to others.
  • Develop and present strategies and solutions to manage risk and costs.
  • Partner with internal and external stakeholders and teams to produce actionable insights.

Benefits

  • Medical, dental, vision, life, and long-term disability coverage.
  • Retirement savings plan.
  • Flexible work schedules, including hybrid and remote options.
  • Paid time off, including vacation, sick leave, holidays, and management leave.
  • Dress flexibility.
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