Actuarial Manager Analyst, Amazon One Medical Actuary, Amazon One Medical Actuary
3 weeks ago
Actuarial Manager Analyst, Amazon One Medical Actuary If you are interested in applying for this job, please make sure you meet the following requirements as listed below. 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. Key job responsibilities include: * 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 * Design studies to monitor the suitability of the completion factor estimates * 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) Basic Qualifications The ideal candidate will have: * 6+ years of data scientist experience * Associate of the Society of Actuaries (ASA) is required * Experience with Medicare or Medicare Advantage products * 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 Preferred Qualifications Preferred qualifications include: * 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. We are committed to providing a safe and respectful work environment. 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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San Francisco, CA, United States Amazon Full timeActuarial 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...
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San Francisco, CA, United States Amazon Full timeActuarial 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...
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San Francisco, United States Amazon Full timeActuarial Manager Analyst, Amazon One Medical Description Amazon One Medical is hiring an Actuarial Manager Analyst. Actuarial rigor is one of the keys to our success. The candidate will be responsible for several critical workstreams, including analysis of Medicare Advantage and Accountable Care Organization data, design and implement an actuarially sound...
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San Francisco, United States Amazon Full timeActuarial Manager Analyst, Amazon One Medical ActuaryAmazon 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...
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San Francisco, United States Amazon Full timeDescription Amazon One Medical is hiring a Actuarial Manager Analyst. Actuarial rigor is one of the keys to our success. This candidate will 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...
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San Francisco, California, United States Amazon Services LLC Full timeDESCRIPTIONAmazon One Medical is hiring a Actuarial Manager Analyst. Actuarial rigor is one of the keys to our success. This candidate will 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...
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San Francisco, California, United States Amazon Full timeDescriptionAmazon One Medical is hiring a Actuarial Manager Analyst. Actuarial rigor is one of the keys to our success. This candidate will 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...
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Actuarial Manager Analyst, Medicare
9 hours ago
San Francisco, United States Amazon Full timeA leading healthcare provider is hiring an Actuarial Manager Analyst in San Francisco. This role requires expertise in Medicare Advantage and actuarial processes. The ideal candidate will lead analyses of healthcare data, design monthly reserving processes, and evaluate Total Medical Expense performance. With 6+ years in data science, strong communication...
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Actuarial Manager Analyst, Medicare
1 day ago
San Francisco, CA, United States Amazon Full timeA leading healthcare provider is hiring an Actuarial Manager Analyst in San Francisco. This role requires expertise in Medicare Advantage and actuarial processes. The ideal candidate will lead analyses of healthcare data, design monthly reserving processes, and evaluate Total Medical Expense performance. With 6+ years in data science, strong communication...
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Lead Actuarial Analyst
3 weeks ago
Alameda, CA, United States Workers' Compensation Insurance Rating Bureau of California (WCIRB) Full timeLead Actuarial Analyst The WCIRB is looking for an experienced Lead Actuarial Analyst interested in having a critical role in the WCIRB's actuarial functions. This position will be directly involved in the WCIRB's core ratemaking and data analysis functions with opportunities for growth, independence, and external communication. The Workers' Compensation...
