Remote Actuarial Associate — Data Modeling & Risk Insights

Alliance Health; Morrisville (NC); Remote; USD 70,000 - 89,000; Full time

Benefits offered by this job

Medical/Dental/Vision/Life

Long Term Disability

Retirement plan

Hybrid/Remote options

Paid time off

Job summary

Alliance Health is seeking an Actuarial Associate to analyze data on cost, membership, capitation, rate-setting and IBNR, using SQL and Excel to model financial risk and develop exhibits for leadership socialization.

The role serves as a subject-matter expert with internal/external stakeholders and requires 3+ years actuarial experience, SOA exams, and a remote-friendly setup. NC residency is required.

Qualifications

• Bachelor’s Degree in Actuarial Science, Mathematics, Business, or related field from an accredited college/university and at least three (3) or more years of related experience in an Actuarial capacity
• Candidate applying for this job is required to have passed at least 2 Society of Actuary (SOA) Actuarial Examinations
• Experience with Financial Close Processes is preferred
• Experience supporting Health Plan is 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
• Adjust and refine IBNR models based on changes in the organization, the environment, or additional risks that may arise
• Value-Based Contracts: Assist in the development of Value Based Contract assessment and reporting
• Undertake financial reconciliation for risk sharing agreements
• Evaluate feasibility / opportunity for ‘New’ VBC arrangements
• Rate Setting: Become an internal SME on State Rate developments
• 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

Training/Presentation

Verbal Communication

Organization

Complex Problem Solving

Time Management

Prioritization

Written Communication

Education

Bachelor’s Degree in Actuarial Science

Bachelor’s Degree in Mathematics

Bachelor’s Degree in Business Management

Tools

Microsoft Office Package

SQL

Job description

Alliance Health is seeking an Actuarial Associate to analyze data on cost, membership, capitation, rate-setting and IBNR, using SQL and Excel to model financial risk and develop exhibits for leadership socialization.

The role serves as a subject-matter expert with internal/external stakeholders and requires 3+ years actuarial experience, SOA exams, and a remote-friendly setup. NC residency is required.