26 applicants

Company

Sentara Health · 1 week ago

Actuarial Analyst II - Remote (Select States)

Norfolk, VA

Full-time

Remote

Entry, Mid Level

$74K/yr - $111K/yr

2+ years exp

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Responsibilities

Create models that identify and predict diseases in our members.

Generate forecasts of risk adjusted revenues for year-end accruals.

Maintain data structures that house HCC models and member data.

Measure key metrics related to point-of-care gap closure solutions.

Valuate the financial impact of risk-adjustment operations.

Assist in ad-hoc requests related to risk scores and revenue.

Advise on the strategic considerations of risk-adjustment activities.

Develop new processes that improve on the department's objectives.

Work with a team of actuaries, analysts, and medical professionals.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Actuarial AnalysisIBNR calculationRisk AdjustmentPredictive AnalyticsMedicare Advantage Bid filingGeneral pricing supportProvider Contract evaluationsSociety of Actuaries credentialReinsurance ReportingManaged Medicaid programs

Required

Bachelor's level degree

Minimum 2 years in Actuarial Analysis

Analytical and problem-solving skills are necessary

Ability to work under tight deadlines and handle pressure situations

Ability to work in a team environment

Minimum completion of three Actuarial exams with continued progress towards Society of Actuaries credential

Experience in at least 3 of the following areas: IBNR and reserve setting, General pricing and filing support of Individual products, General pricing and filing support of Small Group products, General pricing and filing support of Large Group products, Assist in Medicare Advantage Bid filing, Evaluation of Managed Medicaid programs, Provider Contract evaluations, Provider Profit/withhold settlement evaluations, Product Experience Monitoring, Reinsurance/Stop-loss Reporting

Company

Sentara Health

Glassdoor

3.7

Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 130 years in pursuit of its mission - "we improve health every day." Sentara is one of the largest health systems in the U.S.

Founded in 1988

Norfolk, Virginia, USA

10001+ employees