- Provide data and support for the development of rate filings for submission to the Department of Insurance and CMS.
- Assesses competitors' rates, trends and rating methodologies.
- Supports various initiatives as needed by actuarial modeling.
- Develops/enhances ad hoc reports to assist in actuarial analyses of emerging results.
- Creates and maintains large databases of information utilizing a unique skill set of spreadsheet and relational database abilities.
- IBNR Reserves, PDR, Risk Adjustment and other outstanding items
- Conducts cross-functional analysis of health care data to identify trends and risks.
- Develop data and reports in support of reinsurance, risk adjustment and risk corridors, ensuring accurate impacts in pricing and coordination with rebate determination.
- Assess the financial or pricing impact of variations in benefits and provider contracts.
- Estimate mandated benefit cost and calculate pricing of benefit changes.
- Tracks trends and reports pertinent financial and utilization information.
Bachelor's Degree in Actuarial Science/Mathematics/Finance/Healthcare Management or a related field
- 3-4 Actuarial Exams
- 2-3 years of previous experience.
- Problem solving and analytical skills.
- Knowledge of MS-Office products, SAS or SQL
