P32HS Point32Health Services Inc

posted 25 days ago

Full-time - Mid Level
Remote

About the position

The Senior Actuarial Analyst at Point32Health will support the Medicare Part C Pricing work, focusing on pricing, rate filing development, strategic analysis, and various ad hoc projects. This role requires collaboration with business partners outside of the Actuarial team to fulfill pricing requests and ensure compliance with CMS regulations. The position offers opportunities for professional development through the Actuarial Student Program and can be performed fully remote or in a hybrid model.

Responsibilities

  • Support the preparation, analysis, and submission of Medicare Advantage bids, ensuring compliance with CMS regulations.
  • Maintain current models to assist with the bid pricing process and develop new models as needed.
  • Create code to pull in data needed for various models.
  • Validate and audit the data as needed to ensure accuracy.
  • Collaborate with business partners teams, including finance and product development to provide support for strategic decisions.
  • Work on projects focused on the Medicare Preferred population to provide competitively priced Medicare products.

Requirements

  • College degree required
  • 4+ years experience in actuarial or related field
  • 3+ actuarial exams passed
  • Demonstrated experience in analytic project design and building complex technical applications.
  • Proficiency in MS Excel and statistical packages such as SAS; SQL knowledge is a plus.
  • Well-developed verbal and written communication skills for presenting results to business leaders.
  • Ability to operate in a matrix environment and implement actuarial standards and processes.
  • Independence in managing tasks with limited oversight and effective time management.

Nice-to-haves

  • Experience with Medicare Advantage pricing
  • Familiarity with health insurance industry standards
  • Mentoring experience for junior staff

Benefits

  • Medical, dental and vision coverage
  • Retirement plans
  • Paid time off
  • Employer-paid life and disability insurance with additional buy-up coverage options
  • Tuition program
  • Well-being benefits
  • Comprehensive benefits supporting career development and financial health
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