Florida Health Care Plans - Daytona Beach, FL

posted 4 months ago

Full-time
Hybrid - Daytona Beach, FL
Health and Personal Care Retailers

About the position

This position is primarily focused on Part D pricing and analytics/forecasting within the healthcare sector. The successful candidate will take ownership of the Part D filings and assumption development, ensuring data integrity by developing and executing controls around both pricing and forecasting data. The role requires a proactive approach to drive improvements in actuarial assumption setting and pricing methodology, ensuring analytical rigor and speed for assessing product impacts. The candidate will conduct sensitivity analyses to evaluate the impact of various factor changes and analyze large datasets to identify trends, patterns, and areas for improvement in pricing support. The ability to manage time and resources effectively across various assignments while carrying out recurring projects with minimal assistance and oversight is essential. Additionally, the candidate must possess the capability to explain technical work to both technical and non-technical audiences clearly. This position also offers future opportunities to rotate into other actuarial areas, such as Large Group pricing, development and automation of cost-sharing models, reserving, and risk adjustment. The role is available as hybrid-remote or in-office, providing flexibility in the working environment.

Responsibilities

  • Take ownership of Part D filings and assumption development.
  • Ensure data integrity by developing and executing controls around pricing and forecasting data.
  • Drive improvements in actuarial assumption setting and pricing methodology.
  • Ensure analytical rigor and speed for assessing product impacts.
  • Conduct sensitivity analysis to evaluate the impact of various factor changes.
  • Analyze large datasets to identify trends, patterns, and areas for improvement in pricing support.
  • Manage time and resources effectively across assignments and recurring projects with minimal assistance and oversight.
  • Effectively explain technical work to both technical and non-technical audiences.

Requirements

  • Bachelor's degree in a mathematically-oriented field such as Mathematics or Statistics.
  • Credentialed as an Associate of the Society of Actuaries.
  • Proficient with MS Excel and either SAS or SQL.
  • Excellent organization, communication, and problem-solving skills.

Nice-to-haves

  • Experience with ACA or MAPD pricing.
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