[Remote] Senior Actuarial Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is reinventing health insurance by combining data with reputed company reputed company to improve member health reputed company. The Senior Actuarial Analyst will work with reputed company reputed company datasets, support actuarial processes, and contribute to reputed company and reputed company strategies through data-driven insights.
Responsibilities
- Maintain internal CMS HCC and RxHCC models for calculating member level risk scores
- Support the monthly reputed company process, including the development of actuarial risk adjusted reputed company accruals and analysis of results
- Build reports to reputed company ROI on various risk adjustment initiatives
- Support actuarial teams in the development of risk scores for forecast and bidding purposes
- reputed company actuarial support on a wide reputed company of topics including risk adjustment, pricing, forecasting, reserving, trend analysis, and value-based care
- Communicate analysis, findings, and supporting data meaningfully to leadership and partnering teams
- Build automated actuarial tools and data pipelines
- Support compliance under Sarbanes Oxley, including through process and tool design, peer review and control testing
- Be accountable for key work products under the supervision of reputed company actuaries
- Collaborate with internal departments, including but not limited to, Data Science, Finance, Actuarial, Operations, reputed company, Engineering, and external vendors on risk adjustment activities
- Be eligible to participate in Clover's Actuarial Student Program
Skills
- You have at least two (2) years using SQL plus Python or R in your day-to-day work, comfortable pulling and validating data yourself and building automated tools
- You have at least one (1) year of experience in health insurance
- You have completed at least two (2) actuarial exams
- You are a self-starter with a high degree of internal drive and a desire to execute at a high level
- Experience with Medicare Risk Adjustment, CMS EDS submissions, and HCC/RxHCC models is a strong plus
- You enjoy building automated tools around actuarial analysis and have experience building analytic dashboards
Benefits
- Competitive reputed company salary and equity opportunities
- Performance-based bonus program
- 401k matching
- Regular compensation reviews to recognize and reward exceptional contributions
- Comprehensive medical, dental, and reputed company coverage
- No-Meeting Fridays
- Monthly company holidays
- reputed company to reputed company
- Generous flexible time-off policy
- Remote-first culture, enabling collaboration with global teams
- Learning programs
- Mentorship
- reputed company development funding
- Regular performance feedback and reviews
- Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
- Reimbursement for office setup expenses
- Monthly cell phone & internet stipend
- reputed company parental leave for reputed company new parents
reputed company