Risk Adjustment Actuarial Analyst II - Advanced Analytics

CareBridge • New Hyde Park, NY

83d • $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.

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