Actuarial Analyst - Health Plan

Actuarial Analyst

The Actuarial Analyst contributes to the success of the Actuarial team by preparing and analyzing data for Part D bids, maintaining models, performing financial projections and monthly pharmacy cost reports, and supporting contract modeling.

• Prepare and analyze data for Part D and develop comparisons between actual versus forecast.
• Support ad-hoc analytics such as provider contracting, product development, and other customized projects to suit business needs.
• Utilize the Data Warehouse efficiently to develop reports and extract data fields.
• Analyze historical data trends in order to establish reasonable assumptions.
• Assist the actuarial team with the development of Medicare Advantage bid pricings by keeping track of various input parameters and testing benefit scenarios.
• Assist the financial budget and forecasts of pharmacy costs and the ongoing monitoring of actual results.
• Proactively identify opportunities to streamline workflows, enhance model efficiency, and improve automation of existing processes.
• Bring intellectual curiosity and a continuous improvement mindset to all assigned work, challenging the status quo where appropriate.
• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
• Actively support the achievement of SCAN’s Vision and Goals.
• Other duties as assigned.

• Bachelor’s degree in Actuarial Science, Mathematics, or Statistics or any other major with significant quantitative coursework required.
• 2-4 years of actuarial experience with healthcare, health plan, or managed care focus, or comparable actuarial consulting experiences.
• Experience with Medicare, Medicaid, Part D, commercial health insurance, or network contracting for a health plan is highly preferred.
• Performs work under general supervision.
• Handles moderately complex issues and problems, and refers more complex issues to higher-level staff.
• Possesses solid working knowledge of subject matter.
• Technical expertise
  - Strong analytical skills. Microsoft Office Suite (Word, Excel including formulas, V-Lookups, and pivot tables, PowerPoint, Access, Outlook, Teams), and SQL at advanced level is required.
• Problem Solving
  - Basic problem solving skills and strong mathematics skills.
• Communication
  - Good written and verbal communication and interpersonal skills.

• Base salary range: $70,000 to $80.000 per year
• Internal title:
  Actuarial Anyst
• Work Mode:
  Mostly Remote
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
• Excellent 401(k) Retirement Saving Plan with employer match and contribution
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

SCAN is proud to be an Equal Employment Opportunity and affirmative action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.

41 CFR 60-1.35(c)