Actuarial Associate - Remote Risk & Rate Modeling

Alliance Health; Morrisville (NC); Remote; USD 79,000 - 101,000; Full time

Benefits offered by this job

Generous retirement savings plan

Flexible hybrid/remote options

Paid time off including vacation, sick

Dress flexibility

Job summary

Alliance Health is seeking an Actuarial Associate for a full-time remote role based in North Carolina (Morrisville area). The candidate will analyze data, build models, and support rate-setting and value-based contracts while collaborating with internal and external stakeholders.

Required: a Bachelor's in Actuarial Science, Mathematics, or related field, 3+ years actuarial experience, and SOA exams. Some travel to the Home office may be required for onsite meetings.

Qualifications

• Bachelor’s degree in Actuarial Science, Mathematics, Business, or related field from an accredited college/university and at least three (3) years of related experience in an Actuarial capacity.
• Candidate must have passed at least 2 Society of Actuary (SOA) Actuarial Examinations.
• Experience with Financial Close Processes and Health Plan experience preferred.

Responsibilities

• Risk Assessment and Modeling: Evaluate information to determine the potential risks of certain events and their financial impact on the organization.
• PMPM Development / Monitoring: Analyze actual vs budgeted PMPM rates by Category of Service and evaluate the causes of healthcare expense patterns.
• IBNR Calculations: Support the development, maintenance, and preparation of IBNR models, lag schedules and liability calculations.
• Value-Based Contracts: Assist in the development of Value Based Contract assessment and reporting; Undertake financial reconciliation for risk sharing agreements.
• Rate Setting: Become an internal SME on State Rate developments and analyze the rate book provided by the state to validate assumptions.
• Documentation and Process: Assist the Actuarial Function in the creation of documented procedures to support Completion and IBNR.
• Socialization and Presentation: Present and communicate complex statistical and mathematical information to others; Develop and present strategies and solutions that manage risk and costs.

Skills

SQL

Microsoft Office

Organization

Complex Problem Solving

Training/Presentation

Education

Bachelor's in Actuarial Science

Bachelor's in Mathematics

Bachelor's in Business Management

Job description

Alliance Health is seeking an Actuarial Associate for a full-time remote role based in North Carolina (Morrisville area). The candidate will analyze data, build models, and support rate-setting and value-based contracts while collaborating with internal and external stakeholders.

Required: a Bachelor's in Actuarial Science, Mathematics, or related field, 3+ years actuarial experience, and SOA exams. Some travel to the Home office may be required for onsite meetings.