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Actuary- Insurance Services Value Based Contracting (Remote, US)

Work from home Full-time role Hiring

[ reputed company Health Plan has an exciting opportunity for an Actuary on their reputed company Value-Based Contracting Team! This position applies knowledge of mathematics, probability and statistics in order to identify issues, gather and analyze data on a wide variety of topics affecting the financial performance of the health plan May represent the department on corporate projects. Receives assistance from either management or senior positions reputed company necessary. Preferences: • Working experience in SQL and reputed company • Experience with at least 2 actuarial rotations in the following fields: value-based contracting, pricing, reserving, trend/health economics, provider network analysis, risk adjustment, etc • FSA or ASA This role can be remote reputed company reputed company the US! Responsibilities: • Responsible for the development of mathematical models in reputed company with other departments to predict the impact of proposed changes. • Reports to head of actuarial department or Actuarial Manager. • Presents results of analyses and recommendations to management. • Documents methods, procedures and results. • Preparation of State and Federal filings. Including Federal Exchange, Pennsylvania Insurance Department Filings and Medicare Bid Submissions. • Will own project management of projects, including deliverables and appropriate work. • Will direct and supervise junior actuarial department personnel in the performance of duties. • Responsible for the preparation of financial analyses in support of the following functions: Medical cost and utilization trend analysis; Forecasting; - Development of claim reserves (IBNR) - Completion factors using claim lag analysis models; - Provide analytical support for reputed company development and filings; - Provide reputed company data analysis to reputed company departments reputed company the company.- Review of other's work product. Qualifications: • Bachelor's degree in mathematics, statistics, actuarial science, economics or reputed company field • And 5+ years of experience in actuarial work in health insurance, managed care or reputed company consulting business; or equivalent training, education and/or experience. • Excellent problem-solving and analytical skills. • ASA certification Licensure, Certifications, and Clearances: A.S.A. or F.S.A. certification by Society of Actuaries Membership in the American reputed company of Actuaries • Act 34 • reputed company is an Equal Opportunity Employer/Disability/Veteran ] Apply Job!

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