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[Remote] Actuarial Analyst

Remote · Philippines Full-time

Note: The job is a remote job and is open to candidates in USA. AHI agilon health, inc. is seeking an Actuarial Analyst to support their medical margin models and provide insights into market trends. The role involves updating models, preparing audit documentation, and collaborating with various teams to inform budget forecasts and business development.

Responsibilities

  • Update medical margin models for monthly close process
  • Research and identify prior period development in medical margin
  • Use med econ tools to provide deep insight of trend drivers
  • Prepare materials for presenting close results to Market Finance leaders
  • Calculate final cash settlements for MA payer contracts
  • Prepare internal/external audit documentation
  • Inform assumptions for budget/quarterly forecasts
  • Perform analyses to support adhoc requests from Market Finance team
  • Support business development/payer contracting assumptions
  • Other duties as assigned
  • Exemplify companies’ core values
  • Collaborate with Market Finance, FP&A, Accounting, Med Econ, and others

Skills

  • 1-2 years of relevant actuarial experience within a healthcare and/or managed care organization
  • Bachelor's degree in Actuarial Science, Math, Economics or related field
  • 2+ actuarial exams passed
  • Ability to manipulate and interpret large data sets (particularly health care claims and membership data)
  • Experience in actuarial field including the knowledge of best techniques for analyzing healthcare issues and modeling solutions
  • Familiar with IBNR reserve development, product pricing
  • Health insurance product knowledge with a particular focus on Medicare Advantage
  • Proficient in Excel and SQL
  • Strong communication, both written and verbal
  • Ability to work in a fast-paced environment where internal/external client satisfaction is key
  • Entrepreneurial and innovative spirit
  • Experience with Medicare Advantage products

Company Overview

  • Agilon Health partners with primary care physicians to define a new standard of quality, efficiency and patient experience. It was founded in 2016, and is headquartered in Long Beach, California, USA, with a workforce of 501-1000 employees. Its website is https://www.agilonhealth.com/.
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