Actuarial Analyst

Overview

Phenom Consulting has partnered with a leading healthcare organization to grow their Actuarial team. We are seeking a Senior Actuarial Analyst with experience in the healthcare industry.

Develop and maintain actuarial models, analyzing data, and offering strategic insights to support the pricing and bidding processes for Medicare Advantage plans.

• Develop and maintain actuarial models, analyzing data, and offering strategic insights to support the pricing and bidding processes for Medicare Advantage plans
• Play a key role in crafting and executing pricing strategies, ensuring compliance with regulations, and providing vital insights to improve the performance of our Medicare Advantage plans
• Formulate and execute bid pricing strategies with analytical precision to evaluate the financial performance impact of product designs for Medicare Advantage plans, aiming to optimize outcomes.

Interpret regulatory guidelines to ensure compliance with Medicare Advantage bid requirements.

• Collaborate with cross-functional teams including product, market, executive teams, and others to integrate market trends, competitive analysis, and organizational objectives into pricing decisions
• Develop key inputs and assumptions in support of the annual Medicare Advantage bid process
• Conduct sensitivity analyses and scenario testing to evaluate various factors' impacts on bid pricing outcomes
• Analyze healthcare claims data, enrollment data, and other relevant information to detect trends and patterns
• Work closely with data analysts and actuaries to ensure data accuracy and completeness in the pricing process
• Generating regular reports for senior management, highlighting key performance indicators and providing insights into financial results
• Analyze extensive datasets to identify trends, patterns, and areas for improvement in pricing methodologies

• Passed 4+ exams toward the Associate of the Society of Actuaries (ASA) designation

5+ years of experience in healthcare actuarial roles

2+ years of actuarial experience

• Bachelor’s Degree in Statistics, Mathematics, Actuarial Science, Finance, or a related field

Proficiency in writing queries using SQL or other programming languages

• Proven experience in applying project management skills in data-related and financial analysis projects
• Deep knowledge of Medicare Advantage regulations and risk adjustment methodologies, along with a strong analytical skill set

Associate of the Society of Actuaries (ASA) designation

Fellow or Associate designation in the Society of Actuaries (FSA or ASA)

Experience with Medicare Bid processes.

Ability to work remote (must reside in California, Oregon, or Washington)

• Full suite of excellent benefits: medical, dental, well-being, retirement, and career development

Great team and culture to grow with

Industry leading salary

If this sounds like the career opportunity you’ve been waiting for, apply today for immediate consideration.