Remote Actuarial Analyst II - Pricing & Forecasting

Intermountain Healthcare Inc.; Bismarck (ND); Remote; USD 70,000 - 110,000; Full time

Job summary

Intermountain Health seeks a data analytics and actuarial professional to oversee data development, analyses, tools, and reports supporting product decisions and business strategies.

The role includes pricing, rate filings for ACA/Medicare, risk adjustment, claims forecasting, and budgeting. Strong collaboration with audits and finance is required. Remote work option is available with potential onsite interviews.

Qualifications

• Bachelor's degree in math, statistics, computer science, economics or finance obtained through an accredited institution. Education is verified.
• Associate of the Society of Actuaries and four years of relevant actuarial experience.

Responsibilities

• Direct pricing, rate filings and designs for all lines of business.
• Coordinate annual rate filings for ACA and Medicare.
• Coordinate risk adjustment analysis and accrual development.
• Oversee analysis, forecasting, and reporting of claims experience and trends.
• Analyze reserves and liabilities, contingent settlements, incentive and risk-share payments, reinsurance claims and other liabilities.
• Support internal and external audits and reporting.
• Oversee development and reporting of budget projection inputs.
• Oversee provider reimbursement structures, models and service utilization data.
• Coordinate Retiree Drug Subsidy data reporting.
• Design and maintain data extracts and online analysis tools.

Skills

Analytical Thinking

Management Reporting

Product Development

Analytics Software

Teamwork

SQL

Stop Loss Calculations

Communication of results

Actuarial Health Knowledge

Financial Statements

Education

Bachelor's degree in math, statistics, computer science, economics or finance

Associate of the Society of Actuaries + 4 years actuarial experience

Job description

Intermountain Health seeks a data analytics and actuarial professional to oversee data development, analyses, tools, and reports supporting product decisions and business strategies.

The role includes pricing, rate filings for ACA/Medicare, risk adjustment, claims forecasting, and budgeting. Strong collaboration with audits and finance is required. Remote work option is available with potential onsite interviews.