Sr. Actuarial Analyst - Risk Adjustment
$70,100–$126,200 year
Remote
EXPIREDRemoteFull Time$70,100–$126,200 yearSenior LevelBachelors DegreeEnterprise
Full TimeSenior LevelBachelors DegreeEnterprise
Job Summary
Calculate financial outcomes and analyze statistical data to estimate results for Risk Adjustment Actuarial Services. Validate and report member health conditions while partnering with clinical and operational teams to ensure documentation accuracy and regulatory compliance. Assess premium rates, evaluate cash reserves and liabilities, and develop data reports to determine equitable benefit distributions. Apply mathematics, probability, and finance principles to support pricing and risk assessment. Work remotely from the continental U.S. in Central or Eastern Time zones.
Required Qualifications
- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
- Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT
- Bachelor's degree in related field or equivalent experience
- Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5)
- For example, 2 years of actuarial experience and 3 passed actuarial exams
Desired Qualifications
- Experience in healthcare: Medicare Advantage (MA), ACA, or Risk Adjustment
- Advanced Excel skills: Pivot Tables, Power BI, Excel queries
- Coding Experience: SQL (Preferred), SAS, R, etc
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