Actuarial Analyst Associate

Found in: beBee jobs US - 1 week ago


West Chester, Pennsylvania, United States AmeriHealth Caritas Health Plan Full time
Responsibilities:
  • Calculates, monitors and assesses impact of benefit and provider reimbursement changes, cost containment programs, on medical cost and trends.
  • Develops and maintains spreadsheets and databases for purposes of trend and data analytics
  • Performs monthly data analysis projects to assist senior analysts
  • Develops forecasting models for re-forecasts and expected budgets
  • Assists in developing cost projections for contact period negotiations.
  • Performs monthly review of outstanding claim liabilities to assist in determining appropriate medical expenses and book reserves.
  • Populates quarterly reporting templates for LOBs.
  • Prepares internal and external communications, including that with regulatory authorities and internal management.
  • Uses best practice models and other industry recognized pricing tools.
Education/Experience:
  • Bachelor's Degree.
  • 0 to 3 actuarial exams.
  • Internship experience a plus.
  • Strong knowledge of Excel, Access, SAS, spreadsheet, and database applications used for analysis.
  • Strong project management skills.

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