Actuarial Analyst III

Mosaic Health; New York (NY); Remote; USD 90,000 - 136,000; Full time

Job summary

Mosaic Health is seeking an Actuarial Analyst III, a remote role responsible for diverse actuarial studies and contracts. Ideal candidates will possess strong analytical and communication skills, along with robust experience in managed care and a minimum of four passed SOA exams.

Qualifications

• Minimum 3 years of experience in a related field.
• Inegrate risk contracts and prepare management reports.
• Experience in managed care and data analysis is preferred.

Responsibilities

• Analyze and implement risk contracts.
• Mentor less experienced associates.
• Coordinate special actuarial projects.

Skills

Analytical skills

Communication skills

Planning skills

Education

BA/BS in a relevant field

Passed a minimum of four Society of Actuaries (SOA) exams

Tools

SAS

SQL

Microsoft Excel

Tableau

Job description

Join to apply for the Actuarial Analyst III role at Mosaic Health

3 days ago Be among the first 25 applicants

Join to apply for the Actuarial Analyst III role at Mosaic Health

Job Description Summary



CareMore Health is a proud member of the Mosaic Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.

This is a remote, individual contributor role. The Actuarial Analyst III completes very diverse and complicated projects and performs very complex actuarial studies.



How Will You Make An Impact & Requirements



Actuarial Analyst III

Work schedule: Monday - Friday, 8:00 am to 5:00 pm EST or CST

Primary Duties May Include, But Are Not Limited To

• Analyzes and implements risk contracts including conducting experience analyses, pricing, filing and settlement work; and prepares management reports supporting new capitation initiatives.
• Assists in training of actuarial trainees, analysts and specialists.
• Coordinates/directs special actuarial projects.
• Collaborates with the data warehouse analysts in establishing business rules and monitoring adherence.
• Support data extraction, analysis and transformation to produce final
• Provides business expertise regarding the appropriate use of data elements and cooperates with reporting personnel from other areas to establish and maintain these common business rules.
• Translates data trends into strategic recommendations for program development and action plans.
• Tracks and prioritizes projects through coordination and negotiation with internal and external clients to improve the efficiency of information/project plan generation.
• Evaluates and triages potential projects and studies based on the value, cost benefit analysis and the urgency of the request.
• Performs strategic data analysis (data mining) and research as appropriate to support business needs (e.g., disease management, provider profiling, etc.).
• Develops detailed understanding of relevant business processes, goals and strategy in order to provide analysis and interpretation.
• Develops and communicates action plans to address areas for improvement identified through data analysis and business expertise.
• Assists in planning initiatives to address areas for improvement.
• Collaborates with business user to define media, frequency and audience for distribution of information.
• Mentors (formally and informally) less experienced associates and identifies training needs and initiates education to address skill and knowledge gaps.
  
  

Minimum Requirements

• Requires a BA/BS and to have passed a minimum of four Society of Actuaries (SOA) actuarial exams and a minimum of 3 year related experience; or any combination of education and experience, which would provide an equivalent background.
  
  

Preferred Skills, Capabilities, And Experiences

• Excellent knowledge and understanding of data warehouse data structures and data flows is strongly preferred.
• Excellent oral and written communication, analytical and planning skills and knowledge of standard Business Information tools and programming/query languages preferred.
• Experience in managed care and data analysis is preferred.
• Practical business experience is preferred.
• Background in Medicare or other public health insurance programs with understanding of risk adjustment programs
• Actively working towards ASA/ FSA.
• SAS, SQL, and other programming language experience preferred.
• Tableau dashboarding experience preferred
• 4-6 years of experience in an actuarial department, Medicare Advantage risk adjustment experience preferred.
• Work closely with other teams to monitor performance against forecasts, analyzing and explaining drivers of variances from revenue, RAF and membership
• Proficiency with Microsoft office tools with preferred emphasis on Excel.
  
  

Compensation: $90,640K - $135,960K/annual salary & bonus eligible

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at Mosaic Health by 2x

Sign in to set job alerts for “Actuarial Analyst” roles.

New York, NY $52,000.00-$92,000.00 1 week ago

New York, NY $100,000.00-$130,000.00 1 week ago

New York, NY $80,000.00-$110,000.00 9 months ago

New York, United States $160,306.00-$186,500.00 1 week ago

New York, NY $120,000.00-$200,000.00 1 week ago

New York, NY $80,000.00-$100,000.00 1 day ago

New York, United States $125,500.00-$212,800.00 19 hours ago

New York, NY $75,000.00-$113,000.00 3 weeks ago

New York, NY $120,000.00-$200,000.00 3 weeks ago

New York, NY $83,000.00-$139,000.00 2 weeks ago

New York, NY $105,000.00-$115,000.00 2 weeks ago

Assistant Actuary or Senior Actuarial Analyst

New York, NY $74,300.00-$140,000.00 1 day ago

Global Banking & Markets, Equity Derivatives Structuring, Product & Pricing Actuary, Associate - New York

New York, NY $85,000.00-$140,000.00 1 week ago

Glenmont, NY $78,000.00-$108,000.00 6 hours ago

Buffalo, NY $95,000.00-$115,000.00 14 hours ago

New York, United States $115,000.00-$132,500.00 2 days ago

New York, NY $145,000.00-$165,000.00 1 month ago

Senior Insurance Actuarial Analyst - Auto

Manhattan, NY $77,900.00-$157,850.00 1 week ago

New York, NY $88,000.00-$165,000.00 1 month ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.