Remote Actuarial Analyst II: Pricing & Forecasting

Intermountain Healthcare Inc.; Lansing (MI); Teletrabalho; USD 106 000 - 167 000; Tempo integral

Resumo da oferta

Intermountain Healthcare Inc. is seeking a senior pricing and analytics professional for SelectHealth - Murray. You will lead data extraction, analyses, pricing design, and rate filings; coordinate ACA/Medicare filings; oversee risk adjustment analysis; forecast claims and reserves; and support audits. Strong SQL, actuarial knowledge, and health insurance experience are essential. Remote work options may apply after approval.

Qualificações

• 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.

Responsabilidades

• Provides direction for pricing, rate filings and designs for all lines of business.
• Coordinates development of annual required rate filings for ACA and Medicare.
• Coordinates risk adjustment analysis and accrual development.
• Provides direction and oversight for the development and maintenance of analysis, forecasting, and reporting of claims experience and trends, both in aggregate and various components.
• Analyzes and develops financial statement reserves and other liabilities, contingent settlements, incentive and risk-share payments, reinsurance claims and other third-party claims and liabilities, etc.
• Provides input and support for internal and external audits and reporting.
• Provides direction and oversight of development and maintenance of analysis, forecasting, administrative models, and reporting of budget projection inputs, both in aggregate and various components.
• Provides direction and oversight of development, analysis, and reporting of facility, physician, and other provider reimbursement structures, models and service utilization information.
• Coordinates and develops Retiree Drug Subsidy data reporting and submissions.
• Designs, develops, and maintains data extracts and complex queries and on-line data analysis and reporting tools.

Conhecimentos

Analytical Thinking

Management Reporting

Product Development

Analytic Software Programs

Teamwork

Intermediate SQL

Stop Loss Calculations

Communication of results

Actuarial Health Knowledge

Finance Statements

Formação académica

Bachelor's degree in math, statistics, computer science, economics or finance obtained through an accredited institution

Associate of the Society of Actuaries and four years of relevant actuarial experience

Descrição da oferta de emprego

Intermountain Healthcare Inc. is seeking a senior pricing and analytics professional for SelectHealth - Murray. You will lead data extraction, analyses, pricing design, and rate filings; coordinate ACA/Medicare filings; oversee risk adjustment analysis; forecast claims and reserves; and support audits. Strong SQL, actuarial knowledge, and health insurance experience are essential. Remote work options may apply after approval.