Medicaid Markets Associate Actuary

Amerihealth Caritas Health Plan•Newtown Square, PA

59d•Remote

About The Position

The Associate Actuary will collaborate with team members and other stakeholders toward delivering needed actuarial services to the organization. This position will support Medicaid Markets. Work Arrangement This is a 100% Remote position but you must live in EST or CST time zones Your career starts now. We're looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we're passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com.

Requirements

Near ASA (ASA Preferred)
Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related field
At least three to five (3- 5) years of actuarial experience
Problem solving skills, including the ability to work independently and systematically analyze complex problems, draw relevant conclusions, and successfully devise/implement solutions calmly and effectively
Experience mining large data sets
Advanced capabilities in Excel, Databricks/SQL, and database applications used for analysis, proficiency with Microsoft PowerPoint.
At least four (4)+ years' experience working in health care and/or Medicaid/ACA products
Excellent written and verbal communication skills as well as strong data presentation skills
Established ability to manage multiple initiatives, shifting back and forth effectively among activities, to produce positive results in a dynamic environment.

Nice To Haves

Programming experience in Python & R is a plus

Responsibilities

Provides support for rate advocacy by managing databooks and rate mirroring, rate models, MCO surveys, and other requests
Projects and plans for quarterly forecasts utilizing financial forecast models for assigned lines of business
Updates forecasting models for reforecasts and expected budgets
Determines drivers of medical and pharmacy costs changes
Presents key findings to market leaders and other key stakeholders
Supports performance management by tracking current financials and analyzing emerging issues
Informs rate setting with validation of Medicaid pricing and ad hoc requests from agencies
Works collaboratively with internal and external partners
Developing actuarial models, presentation materials and communicating results of actuarial analyses to various stakeholders
Adheres to actuarial standards of practice and the code of professional conduct