Actuarial Analyst

Phenom Consulting; Portland (OR); Hybrid; USD 110,000 - 150,000; Full time

Benefits offered by this job

Full suite of excellent benefits: medical, dental, well-being, retirement, and career development

Great team and culture

Industry leading salary

Remote work

Job summary

A healthcare consulting firm is looking for a Senior Actuarial Analyst in Oregon. Responsibilities include developing actuarial models and analyzing healthcare data to support pricing and bidding processes. Candidates should have 5+ years of experience in healthcare actuarial roles, a bachelor's degree in a related field, and passed 4+ exams toward the ASA designation. This role offers the ability to work remotely and excellent benefits.

Qualifications

• 5+ years of experience in healthcare actuarial roles.
• 2+ years of actuarial experience.
• Passed 4+ exams toward the Associate of the Society of Actuaries (ASA) designation.
• Bachelor’s Degree in Statistics, Mathematics, Actuarial Science, Finance, or related field
• Proficiency in SQL or other programming languages
• Experience applying project management in data-related and financial analyses
• Deep knowledge of Medicare Advantage regulations and risk adjustment methodologies

Responsibilities

• Develop and maintain actuarial models to support pricing strategies.
• Analyze healthcare claims data and detect trends.
• Collaborate with cross-functional teams for pricing decisions.
• Ensure compliance with Medicare Advantage bid requirements
• Collaborate with product, market and executive teams to integrate trends into pricing
• Develop inputs and assumptions for annual Medicare Advantage bid process
• Conduct sensitivity analyses to evaluate factors on bid pricing outcomes
• Analyze healthcare claims and enrollment data to detect trends
• Ensure data accuracy and completeness in pricing processes
• Generate regular reports for senior management with KPIs

Skills

SQL proficiency

Project management skills

Analytical skills

Understanding of Medicare Advantage regulations

Regulatory compliance

Education

Bachelor’s Degree in Statistics, Mathematics, Actuarial Science, Finance, or a related field

ASA designation

FSA designation

Tools

SQL

Job description

Overview

Phenom Consulting has partnered with a leading healthcare organization to grow their Actuarial team. We are seeking a Senior Actuarial Analyst with experience in the healthcare industry.

What You’ll Do

Develop and maintain actuarial models, analyzing data, and offering strategic insights to support the pricing and bidding processes for Medicare Advantage plans.

• Develop and maintain actuarial models, analyzing data, and offering strategic insights to support the pricing and bidding processes for Medicare Advantage plans
• Play a key role in crafting and executing pricing strategies, ensuring compliance with regulations, and providing vital insights to improve the performance of our Medicare Advantage plans
• Formulate and execute bid pricing strategies with analytical precision to evaluate the financial performance impact of product designs for Medicare Advantage plans, aiming to optimize outcomes.

Interpret regulatory guidelines to ensure compliance with Medicare Advantage bid requirements.

• Collaborate with cross-functional teams including product, market, executive teams, and others to integrate market trends, competitive analysis, and organizational objectives into pricing decisions
• Develop key inputs and assumptions in support of the annual Medicare Advantage bid process
• Conduct sensitivity analyses and scenario testing to evaluate various factors' impacts on bid pricing outcomes
• Analyze healthcare claims data, enrollment data, and other relevant information to detect trends and patterns
• Work closely with data analysts and actuaries to ensure data accuracy and completeness in the pricing process
• Generating regular reports for senior management, highlighting key performance indicators and providing insights into financial results
• Analyze extensive datasets to identify trends, patterns, and areas for improvement in pricing methodologies

What to Bring

• Passed 4+ exams toward the Associate of the Society of Actuaries (ASA) designation

5+ years of experience in healthcare actuarial roles

2+ years of actuarial experience

• Bachelor’s Degree in Statistics, Mathematics, Actuarial Science, Finance, or a related field

Proficiency in writing queries using SQL or other programming languages

• Proven experience in applying project management skills in data-related and financial analysis projects
• Deep knowledge of Medicare Advantage regulations and risk adjustment methodologies, along with a strong analytical skill set

Preferred experience

Associate of the Society of Actuaries (ASA) designation

Fellow or Associate designation in the Society of Actuaries (FSA or ASA)

Experience with Medicare Bid processes.

What You’ll Get

Ability to work remote (must reside in California, Oregon, or Washington)

• Full suite of excellent benefits: medical, dental, well-being, retirement, and career development

Great team and culture to grow with

Industry leading salary

If this sounds like the career opportunity you’ve been waiting for, apply today for immediate consideration.