Actuarial Analyst

Actuarial Analyst - Health Plan

Locations

• Hybrid, Long Beach, CA
• Remote, US

Full time

The Job

The Actuarial Analyst contributes to the success of the Actuarial team by preparing and analyzing data for Part D bids, maintaining models, performing financial projections and monthly pharmacy cost reports, and supporting contract modeling.

You Will

• Prepare and analyze data for Part D and develop comparisons between actual versus forecast.

• Support ad-hoc analytics such as provider contracting, product development, and other customized projects to suit business needs.

• Utilize the Data Warehouse efficiently to develop reports and extract data fields. 

• Analyze historical data trends in order to establish reasonable assumptions 

• Assist the actuarial team with the development of Medicare Advantage bid pricings by keeping track of various input parameters and testing benefit scenarios

• Assist the financial budget and forecasts of pharmacy costs and the ongoing monitoring of actual results

• Proactively identify opportunities to streamline workflows, enhance model efficiency, and improve automation of existing processes. 

• Bring intellectual curiosity and a continuous improvement mindset to all assigned work, challenging the status quo where appropriate

• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

• Actively support the achievement of SCAN’s Vision and Goals. 

• Other duties as assigned.

Your Qualifications

• Bachelor’s degree in Actuarial Science, Mathematics, or Statistics or any other major with significant quantitative course work required.

• 2-4 years of actuarial experience with healthcare, health plan, or managed care focus, or comparable actuarial consulting experiences.

• Experience with Medicare, Medicaid, Part D, commercial health insurance, or network contracting for a health plan is highly preferred.

• Performs work under general supervision.

• Handles moderately complex issues and problems, and refers more complex issues to higher-level staff.

• Possesses solid working knowledge of subject matter.

• Technical expertise - Strong analytical skills. Microsoft Office Suite (Word, Excel including formulas, V-Lookups, and pivot tables, PowerPoint, Access, Outlook, Teams), and SQL at advance level is required.

• Problem Solving - Basic problem solving skills and strong mathematics skills.

• Communication - Good written and verbal communication and interpersonal skills.

What's in it for you?

• Base salary range: $70,000 to $80.000 per year

• Internal title: Actuarial Anyst

• Work Mode: Partially Remote

• An annual employee bonus program

• Robust Wellness Program

• Generous paid-time-off (PTO)

• Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday

• Excellent 401(k) Retirement Saving Plan with employer match and contribution

• Robust employee recognition program

• Tuition reimbursement

• An opportunity to become part of a team that makes a difference to our members and our community every day!