Remote Actuarial Analyst II: Pricing & Forecasting

Intermountain Healthcare Inc.; San Juan (PR); Remote; USD 70,000 - 110,000; Full time

Job summary

Intermountain Health is seeking a senior actuarial–data leader to direct pricing, rate filings, and risk adjustment analytics across ACA and Medicare. You will oversee forecasts, reserves, and budget modeling, ensuring accurate reporting and compliance.

The role requires strong SQL, data extraction skills, and health insurance knowledge. This fully remote position offers a 40-hour week with competitive hourly compensation and comprehensive benefits.

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.
• Understanding of underlying theory and effects of assumptions used in product development and maintenance. Knowledge of health insurance products.

Responsibilities

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

Skills

Analytical Thinking

Management Reporting

Product Development

Analytic Software Programs

Teamwork

Intermediate SQL

Stop Loss Calculations

Communication of results

Actuarial Health Knowledge

Finance Statements

Education

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

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

Job description

Intermountain Health is seeking a senior actuarial–data leader to direct pricing, rate filings, and risk adjustment analytics across ACA and Medicare. You will oversee forecasts, reserves, and budget modeling, ensuring accurate reporting and compliance.

The role requires strong SQL, data extraction skills, and health insurance knowledge. This fully remote position offers a 40-hour week with competitive hourly compensation and comprehensive benefits.