Actuarial Analyst - Actuary

$66,000 - $130,000/Yr

Arizona Healthcare - Phoenix, AZ

posted 3 months ago

Part-time,Full-time - Entry Level
Remote - Phoenix, AZ
Ambulatory Health Care Services

About the position

The Actuarial Analyst - Actuary position at the Arizona Health Care Cost Containment System (AHCCCS) is a vital role within the Division of Business & Finance, focusing on the development of actuarially sound capitation rates and conducting comprehensive actuarial analyses for the agency. This position is integral to ensuring that the agency meets its mission of delivering cost-effective health care to Arizonans in need. The Actuarial Analyst will work under the supervision of a credentialed actuary, gaining valuable experience and knowledge in the field. The role requires a strong understanding of federal regulations related to Medicaid and Medicare, as well as the ability to apply actuarial standards of practice as set forth by the Actuarial Standards Board (ASB). In this position, the Actuarial Analyst will be responsible for documenting all processes for peer review and internal and external actuarial communications. This includes assisting in the review of accuracy for information from other reporting departments and ensuring quality control across managed care programs. The analyst will verify source data, assess the accuracy of formulas, and document assumptions and methodologies. Additionally, the role involves developing and updating diagnosis-based risk adjustment models and calculating costs for potential program changes, budget requirements, and ad hoc analyses. The Actuarial Analyst is expected to progress towards attaining an actuarial credential, such as the Associate of the Society of Actuaries (ASA). AHCCCS is recognized for its supportive leadership and flexible work environments, including remote work options. The agency values high employee engagement and satisfaction, making it an excellent place for professionals seeking meaningful career opportunities in a competitive industry. The position offers a salary range of $66,000 to $130,000, with opportunities for both full-time and part-time work, as well as internships. Candidates will be expected to demonstrate strong analytical abilities, effective communication skills, and a commitment to high performance in serving the citizens of Arizona. The role also requires a Bachelor's degree in a relevant field, with additional experience or actuarial examinations preferred.

Responsibilities

  • Develop actuarially sound capitation rates for the agency.
  • Conduct actuarial analysis and document all processes for peer review and communications.
  • Assist in reviewing accuracy of information from other reporting departments.
  • Verify source data and assess accuracy of formulas and methodologies.
  • Develop and implement diagnosis-based risk adjustment models for AHCCCS programs.
  • Calculate costs for potential program changes and budget requirements.
  • Progress towards attaining an actuarial credential, such as ASA.

Requirements

  • Bachelor's degree in mathematics, actuarial science, finance, economics, or statistics.
  • Experience in financial analysis or capitation rate setting, or passing one or more actuarial examinations.
  • Knowledge of federal regulations relating to Medicaid and Medicare.
  • Understanding of AHCCCS rules, regulations, policies, and procedures.
  • Familiarity with actuarial and financial analysis principles.

Nice-to-haves

  • Experience with Medicaid managed health care.

Benefits

  • Dental insurance
  • Disability insurance
  • Health insurance
  • Loan forgiveness
  • Paid holidays
  • Paid parental leave
  • Paid vacation and sick time off (13 and 12 days per year respectively)
  • A top-ranked retirement program with lifetime pension benefits
  • Public Service Loan Forgiveness Program eligibility
  • RideShare and Public Transit Subsidy
  • Learning and career development opportunities
  • Remote work options for improved work/life balance
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