Actuarial Senior Analyst

Qualcare - Nashville, TN

Full-time - Mid Level

Hybrid - Nashville, TN

Ambulatory Health Care Services

About the position

The Actuarial Senior Analyst position at Qualcare, Inc. is a senior contributor role focused on performing actuarial analyses for the 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 collaborate with team members to support Medicare pricing and documentation development.

Responsibilities

• Perform actuarial analyses for Medicare Advantage business, including medical expense analyses and projections.
• Develop financial forecasts and Medicare Part C bid documentation.
• Support cross-market review of bids and update supporting forecasting and analyses.
• 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.

Requirements

• Bachelor's Degree in Actuarial Science, Economics, Mathematics, or related field strongly preferred.
• 1-3+ years of actuarial or data analytics experience.
• Actively progressing through Society of Actuaries exams strongly preferred.
• Strong technical skills 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 experience preferred.
• Proficiency in SQL preferred.

Nice-to-haves

• Experience in healthcare or Medicare-related actuarial work.
• Familiarity with regulatory (CMS) filings.

Benefits

• Comprehensive health-related benefits including medical, vision, and dental.
• 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.
• Eligibility for an annual bonus plan.