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A leading healthcare organization is seeking a full-time Senior Actuarial Analyst to conduct advanced data analysis and provide insights for strategic decision-making. This role involves actuarial modeling, risk assessment, and collaboration with cross-functional teams to ensure accurate pricing and performance monitoring. The ideal candidate will have a Bachelor's degree and at least 3 years of relevant experience.
Sentara Health is currently seeking a full-time remote Senior Actuarial Analyst.
Position Status: Full-time, Day Shift
Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington (state), West Virginia, Wisconsin, Wyoming
Standard Working Hours: 8:00AM to 5:00PM
The Senior Actuarial Analyst will play a crucial role in supporting the actuarial team by conducting advanced data analysis and providing insights for strategic decision-making in a healthcare organization. This role requires expertise in actuarial modeling, risk assessment, and financial forecasting related to healthcare products, services, and operations. The Senior Actuarial Analyst will collaborate with cross-functional teams, including finance, underwriting, and clinical departments, to ensure accurate pricing, risk management, and performance monitoring. Additionally, the individual will assist in regulatory compliance, reporting, and enhancing predictive models to improve healthcare outcomes and cost-efficiency.
Develop and maintain actuarial models for pricing and financial forecasting of healthcare products and services.
Perform risk assessments and financial projections to evaluate the financial health of healthcare plans.
Provide in-depth analysis of claims data, utilization patterns, and healthcare costs to support decision-making.
Assist in the development of pricing strategies for insurance products, ensuring alignment with company goals and regulatory requirements.
Collaborate with the underwriting team to assess risks and recommend adjustments in pricing models.
Monitor and report on the performance of health plans, identifying areas for cost reduction and efficiency improvement.
Prepare actuarial reports, presentations, and documentation for internal stakeholders and regulatory bodies.
Support the implementation of new healthcare initiatives, ensuring actuarial insights are integrated into the planning process.
Mentor junior actuarial staff, providing guidance and training on best practices and methodologies.
Stay up to date with industry trends, regulatory changes, and new actuarial methodologies.
Bachelor's level degree
No specific certification or licensure requirements
3 years of related experience required
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $69,742.40 - $116,254.20. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities