Actuarial Services Manager: Data Insights & CMS Risk

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

Applies knowledge of mathematics, probability, statistics, and principles of business to enhance the IBNR (Incurred But Not Reported) models and improve the monthly close process. Works with a team of financial analysts to assist with the actuarial components of the annual financial plan. Assists in the determination of revenue, reserves and/or cash flow projections. Identifies data patterns and trends, and provides insights to enhance business decision making capability in business planning, process improvement, solution assessment, etc. Analyzes and validates payer claims data. Assists markets to identify factors driving claims cost and estimates historical and prospective trends. Performs actuarial analysis of CMS public information. Calculates statistical and probability forecasts and models from data. Runs CMS risk adjustment model to calculate member level risk scores. Provides actuarial support to markets; creates and distributes reports; responds to inquiries. Assists in actuarial research, experience studies, and statistical analyses and calculations. Reviews accuracy of data and calculations. Reports and interprets results of data analysis. Analyzes risk evaluation data, using appropriate models and statistical methods; creates relevant charts and graphs. Recommends actions for future developments and strategic business opportunities. Performs other duties as assigned and modified at manager's discretion.

KNOWLEDGE, SKILLS AND ABILITIES:

Strong software skills in Visual Basic, SQL and SAS Excellent analytical and communication skills May be required to travel locally, regionally and nationwide up to 10% of the time Spoken and written fluency in English Experience leading small to mid-sized team Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint, Outlook, and database software Ability and willingness to travel locally, regionally, and nationwide up to 10% of the time Spoken and written fluency in English This job requires use and exercise of independent judgment

EDUCATION AND EXPERIENCE CRITERIA:

Bachelor's degree; ASA with progression to FSA, or career ASA designation. Experience may substitute for education on a year-for-year basis above the minimum required Bachelor's degree in actuarial science, mathematics, economics, statistics, data science or finance preferred Minimum five (5) years of related experience Experience in Medicare Advantage preferred

PAY RANGE:

Salary: $108,313 - $154,733

EMPLOYEE BENEFITS:

For detailed benefits information, visit #J-18808-Ljbffr ChenMed, LLC