Risk Adjustment Actuarial Analyst II - Advanced Analytics

CareBridge • South Portland, ME

84d • $71,136 - $134,784

About The Position

The Risk Adjustment Actuarial Analyst II - Advanced Analytics is responsible for completing projects and performing complex actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

Requirements

• Requires a BA/BS degree and to have passed a minimum of three Society of Actuaries (SOA) or Casualty Actuarial Society (CAS) actuarial exams and a minimum of 1-year related experience; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• 1 year or more of risk adjustment analytics experience for government programs strongly preferred.
• Proficiency in SAS and SQL or experience using other programming languages and an aptitude and desire to learn these programming languages quickly.
• Proven written and verbal communication skills in a collaborative environment.

Responsibilities

• Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives.
• Performs data mining and data-driven analyses to evaluate historical program performance and to inform current operating decisions.
• Prepares management reports for risk adjustment related projects.
• Collects and documents reporting and programming requirements from internal and external requestors to ensure that the team is meeting reporting needs and facilitates seamless data transfer.
• Develops ad hoc risk adjustment reports using SAS and SQL as needed.
• Attends and actively participates in internal risk adjustment analytics and risk adjustment operations meetings.
• Participates in peer-to-peer review process to reduce report writing errors and rework.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Paid Time Off
• Medical, dental, vision benefits
• Short and long term disability benefits
• Life insurance
• Wellness programs
• Financial education resources

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree
• Number of Employees: 251-500 employees