Actuarial Manager Analyst, Amazon One Medical Actuary, Amazon One Medical Actuary

2 weeks ago


San Francisco CA, United States Amazon Full time

Actuarial Manager Analyst, Amazon One Medical Actuary Amazon One Medical is hiring an Actuarial Manager Analyst. Actuarial rigor is one of the keys to our success. This candidate will be responsible primarily for several critical workstreams which include analysis of Medicare Advantage and Accountable Care Organization data, design and implement an actuarially sound monthly reserving process for Total Medical Expense (TME) estimation, and lead continuous evaluation of TME performance compared to plan expectations.
Is your CV ready If so, and you are confident this is the role for you, make sure to apply asap.
Analysis of Medicare Advantage and Accountable Care Organization data primarily
Medical economics reporting and ad-hoc analysis relating to cost of care management
Medicare Risk score projections and premium estimation
Design and implement an actuarially sound monthly reserving process for Total Medical Expense (TME) estimation
Lead continuous evaluation of TME performance compared to plan expectations
Coordinate with the finance team on future TME projections that are refreshed monthly and provided quarterly for forecasting and planning
Support month end financial and accounting processes for relevant actuarial estimates
Value based care contracting support and ongoing financial and risk analysis
Support ongoing actuarial support for outside auditor review of financial estimates and results
Lead continuous evaluation of risk based funding and scoring performance compared to plan expectations
Complete the evaluation of stop-loss coverage and manage third party vendors
Analyze and develop new to market assessments and modeling which includes future Medicare geographic expansion and enhancements / changes to other market segments (Commercial potentially)
6+ years of data scientist experience
Associate of the Society of Actuaries (ASA) is required
Strong knowledge of actuarial reserving, forecasting and medical economics
Expertise in working with medical claims data and using programming languages such as SQL, R, SAS, Python, Snowflake, Tableau/Looker
Ability to work cross functionally and communicate effectively with stakeholders (Operations, Finance, Planning, & Accounting (FP&A), Clinical, etc.)
Bachelor's degree is required
Fellow of the Society of Actuaries (FSA)
Bachelor’s degree in Finance, Actuarial Science, Mathematics, Economics, or Business
Experience working with risk-bearing provider groups
Experience in value-based care, including CMS initiatives such as the Medicare Shared Savings Program (MSSP) and ACO REACH
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.
Our inclusive culture empowers Amazonians to deliver the best results for our customers. xrczosw If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, please visit for more information.



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