Actuarial Lead Analyst - Remote

Qualcare - Nashville, TN

Full-time - Mid Level

Hybrid - Nashville, TN

Ambulatory Health Care Services

About the position

The Actuarial Lead Analyst position at Qualcare, Inc. is a senior contributor role focused on performing actuarial analyses for Medicare Advantage business. The role involves medical expense analyses, financial forecasts, bid development, regulatory filings, and actuarial modeling. The analyst will communicate results to management and associates, ensuring effective collaboration and support for Medicare pricing and CMS bid documentation.

Responsibilities

• Perform actuarial analyses for Medicare Advantage business, including medical expense analyses and projections.
• Develop and support Medicare Part C bid documentation and regulatory filings.
• Apply analytical methods using mathematical and statistical models in bid modeling and financial analyses.
• Complete ad hoc assessments and projects for corporate-wide or market-specific initiatives.
• Communicate results of analyses to senior actuarial team members.
• Participate in team meetings and present on specific topics as needed.
• Own the methodology and development of actuarial assumptions used in bid pricing.
• Present results to various matrix partners.

Requirements

• Bachelor's Degree in Actuarial Science, Economics, Mathematics or related field strongly preferred.
• 3+ years of actuarial/data analytics experience.
• Actively progressing through Society of Actuaries exams strongly preferred.
• Strong technical skills specifically in Excel.
• Strong mathematical, financial, and statistical skills.
• Detail-oriented with the ability to work independently with minimal supervision.
• Strong communication and presentation skills; written/verbal proficiency.
• Ability to identify problem areas and implement solutions.
• Healthcare/Medicare bid experience strongly preferred.
• Proficiency in SQL preferred.

Nice-to-haves

• Experience with healthcare data analytics.
• Familiarity with regulatory compliance in Medicare.

Benefits

• Medical insurance
• Vision insurance
• Dental insurance
• Well-being and behavioral health programs
• 401(k) with company match
• Company paid life insurance
• Tuition reimbursement
• Minimum of 18 days of paid time off per year
• Paid holidays
• Annual bonus plan