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

Alliance HealthFayetteville, NC
$69,592 - $88,729Remote

About The Position

The Actuarial Associate will analyze and interpret data related to cost, membership, capitation, Rate-setting, Incurred But Not Reported (IBNR) and other items as needed. They will use SQL/excel etc. to model data and assess financial risk and help develop exhibits to assist in the socialization of financial outcomes. The Actuarial Associate will also serve as a subject matter expert to internal and external stakeholders and partner with teams to produce actionable insights. This position is a remote position, working from home and coming into the office occasionally for in-person meetings with leadership and/or team members. This position is fully remote. The selected candidate must reside in North Carolina.

Requirements

  • Bachelor’s Degree in Actuarial Science, Mathematics, Business, or related field from an accredited college/university and at least three (3) or more years of related experience in an Actuarial capacity
  • Candidate applying for this job is required to have passed at least 2 Society of Actuary (SOA) Actuarial Examinations
  • Microsoft Office Package
  • Communication- Verbal
  • Organization
  • Complex Problem Solving
  • Time Management; Prioritization
  • Written Communication; Reporting
  • SQL

Nice To Haves

  • Experience with Financial Close Processes is preferred
  • Experience supporting Health Plan is preferred
  • Training/Presentation

Responsibilities

  • Evaluate information to determine the potential risks of certain events and their financial impact on the organization
  • Analyze actual vs 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 based on changes in the organization, the environment, or additional risks that may arise
  • Assist in the development of Value Based Contract assessment and reporting
  • Undertake financial reconciliation for risk sharing agreements
  • Evaluate feasibility / opportunity for ‘New’ VBC arrangements
  • Become an internal SME on State Rate developments
  • Analyze the rate book provided by the state to validate assumptions
  • Assist the Actuarial Function in the creation of documented procedures to support Completion and IBNR
  • Present and communicate complex statistical and mathematical information to others
  • Develop and present strategies and solutions that manage risk and costs

Benefits

  • Medical, Dental, Vision, Life, Long Term Disability
  • Generous retirement savings plan
  • Flexible work schedules including hybrid/remote options
  • Paid time off including vacation, sick leave, holiday, management leave
  • Dress flexibility
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