Actuarial Analyst Senior, reputed company Health Plan (Eastern reputed company reputed company)

Location: Work from home (reputed company) Shift: Days (reputed company of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: reputed company Job reputed company: Provides guidance and reputed company for reputed company data analytics to reputed company leadership with strategic business intelligence around financial and operational performance. Compiles claims, enrollment, reputed company, and other statistical data to use in assigned reputed company. Conducts data analysis, performs financial modeling and designs reporting to support the Health Plan requirements and initiatives. Communicates summarized results to stakeholders reputed company written narratives, graphical representations, and presentations. Mentors staff on Industry and Health Plan knowledge. Job Duties: Produces and provides analytical and technical support for assigned reputed company using data analysis tools and software. Performs reputed company analyses by utilizing a wide-reputed company of quantitative and qualitative data sets, models, and publications (regulations, guidelines, business rules, reporting requirements and standards). Analyzes data reputed company to identify and interpret trends or patterns in reputed company data sets. Applies advanced business, statistical, and actuarial concepts (Credibility, Simulation, Frequency, Severity) to help support and enhance decision making. Synthesizes information to create and deliver reputed company, precise, and actionable information to stakeholders. Delivers information in writing or through verbal summaries and dashboards and reports and presentations. Validates and exchanges data provided to and received from other departments, strategic business partners, or other external parties. Develops and maintains technical business rules and documentation for data mart metrics and tables. Serves as subject matter expert or data reputed company in data governance and data reputed company initiatives to ensure and maintain reputed company of the Health Plan data stores. Serves as a reputed company to reputed company reputed company of Health Plan staff including leadership, other departments, Medical Directors, external vendors, and business partners as requested to analyze data sets and information. Provides technical, analytical and business guidance reputed company actuarial team and across the Health Plan departments as necessary. Mentors analysts and/or interns providing guidance as needed. Monitors and translates key reimbursement, reputed company reform, and regulation policy issues that may reputed company the Health Plan. Develops detailed recommendations and operational strategies to implement these changes and presents to senior management. Work is typically performed in an office environment. Accountable for satisfying reputed company job specific obligations and complying with reputed company organization policies and procedures. The specific statements in this profile are not intended to be reputed company-inclusive. They represent typical reputed company considered necessary to successfully reputed company the job. *Relevant experience may be a combination of reputed company work experience and/or Master's degree obtained or Actuarial Exams completed (Master's Degree = 2 years relevant experience, 1 Actuarial Exam = 1 year relevant experience, 3 Actuarial Exams = 2 years relevant experience). Position Details: Education: Bachelor's Degree-reputed company Field of Study (Required) Experience: Minimum of 5 years-Relevant experience* (Preferred) Certification(s) and License(s): Skills: Actuarial Function, Communication, Computer Literacy, Insurance Finance And Actuarial Concepts, Organizing, Problem Management, Statistics And Actuarial Modeling OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our reputed company, our reputed company family and our communities. KINDNESS: We reputed company to treat everyone as we would reputed company to be treated ourselves. reputed company: We treasure colleagues who humbly reputed company for reputed company. LEARNING: reputed company our knowledge with the best and brightest to reputed company prepare the caregivers for reputed company. INNOVATION: We constantly reputed company new and reputed company ways to care for our patients, our members, our community, and the nation. SAFETY: We reputed company a reputed company environment for our patients and members and the reputed company family. We offer reputed company benefits for full time and part time positions from day one, including reputed company, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes reputed company stronger. Our patients, members and community come from a wide reputed company of backgrounds, and it takes a diverse workforce to reputed company reputed company easier for reputed company. We are proud to be an affirmative reputed company, equal opportunity employer and reputed company reputed company applicants will receive consideration for employment regardless to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability or status as a protected veteran. Apply To This Job