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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in actuarial analysis, financial forecasting, and health insurance product development, with a strong focus on data management and reporting. Proficient in SQL and analytical software, supporting effective decision-making and compliance in healthcare finance.
Highest-signal resume keywords
Actuarial Health KnowledgeIntermediate SQLFinancial Statement AnalysisProduct DevelopmentManagement Reporting
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisForecastingRisk Adjustment AnalysisStop Loss CalculationsComplex SQL QueriesAnalytic Software ProgramsBudget Projection AnalysisClaims Experience AnalysisReimbursement StructuresRate Filings
Soft Skills
Analytical ThinkingCommunication of Results
Tools & Technologies
Microsoft Teams
Certifications & Qualifications
Associate of the Society of Actuaries
Industry Keywords
Health Insurance ProductsACA Rate FilingsMedicare Rate FilingsReinsurance ClaimsThird-Party ClaimsRetiree Drug Subsidy
Tech Stack
Tools & technologiesSQL
About the role
Key responsibilities & impact- Provide direction and oversight for data, analyses, tools, reports, rating and reimbursement structures supporting products, services, and business decisions
- Direct pricing, rate filings, and designs for all lines of business
- Coordinate annual ACA and Medicare rate filings
- Coordinate risk adjustment analysis and accrual development
- Oversee claims experience and trend analysis, forecasting, and reporting
- Analyze financial statement reserves, liabilities, contingent settlements, incentive and risk-share payments, reinsurance claims, and third-party claims and liabilities
- Support internal and external audits and reporting
- Oversee budget projection input analysis, forecasting, administrative models, and reporting
- Oversee facility, physician, and provider reimbursement structures, models, and service utilization analysis
- Coordinate and develop Retiree Drug Subsidy data reporting and submissions
- Design, develop, and maintain data extracts, complex SQL queries, online data analysis, and reporting tools
- Participate in video interviews through Microsoft Teams and potential onsite interviews and meetings
Requirements
What you’ll need- Bachelor's degree in math, statistics, computer science, economics or finance from an accredited institution; education is verified
- Associate of the Society of Actuaries
- Four years of relevant actuarial experience
- Understanding of underlying theory and effects of assumptions used in product development and maintenance
- Knowledge of health insurance products
- Intermediate SQL
- Stop loss calculations
- Actuarial health knowledge
- Finance statements
- Analytical thinking
- Management reporting
- Product development
- Analytic software programs
- Communication of results
- Ability to verbally communicate, hear, and understand spoken information
- Ability to operate computers, telephones, and office equipment
- Ability to see and read computer monitors and documents
- Ability to remain sitting or standing for long periods
- Candidates must not reside or plan to reside in California, Connecticut, Hawaii, Illinois, Maine, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia, Vermont, or Washington
Benefits
Comp & perks- Generous benefits package covering programs for physical, mental, and spiritual well-being
- Remote work options
- Company equipment and remote-work support under applicable policies
