Actuarial Analyst II

Position Summary:

Community Care Plan (CCP) is seeking an actuarial analyst to join our small, growing actuarial team. This fast-paced role provides an outstanding opportunity to influence data-driven business decisions. You will have practical exposure to all facets of the business and help shape the future and strategy of the company through forecasting and analysis of key business drivers. Your work will have direct visibility to senior executive leadership beyond the traditional scope and environment of this position within the broader actuarial industry.

This position will have the opportunity to build your actuarial foundation with direct supervision and mentorship from an experienced actuary while also offering opportunities to work on non-traditional actuarial projects in direct collaboration with our finance, accounting, medical economics, IT, and pharmacy teams. This position suits an early-career actuary who wants broad exposure to real healthcare business, genuine ownership of their work, and full support toward the ASA/FSA through CCP's Actuarial Study Program.

Qualifications:

• Bachelor's Degree in Actuarial Science, Mathematics, Statistics, or a related field.
• 2+ Actuarial Exams passed in active pursuit of your ASA, preferably 3-4.
• 1+ years of relevant experience, preferably actuarial and in the healthcare industry.
• Advanced Proficiency in Microsoft Excel and preferably Microsoft SQL Server.
• Strong written and verbal communication skills; ability to present findings clearly & effectively.
• Proven ability and clear desire to learn and adapt quickly while maintaining quality performance.

Essential Duties and Responsibilities:

• Support actuarial functions and modeling efforts for all lines of business - Medicaid, CHIP (FHK), ACA, Employee Plan, and ASO.
• Conduct regular actuarial analyses such as IBNR estimation, trend analysis, rating support/advocacy, and other reserve valuations.
• Provide actuarial support for value-based care arrangements through financial modeling, quality monitoring, and risk analysis.
• Monitor and analyze emerging unit cost and utilization trends, membership, revenue, and risk score performance.
• Evaluate medical expense performance compared to plan expectations, including cohort-level insights; collaborate cross functionally to aid cost containment efforts.
• Assist data preparation for diversified business needs, directly collaborating with external vendors as necessary.
• Participate in audit-related actuarial work including data requests and reconciliation efforts for external auditors.
• Assist in the preparation of monthly, quarterly, and annual financial filings to assess industry performance over time and meet regulatory requirements.
• Actively participate in CCP's actuarial study program in pursuit of, at minimum, your ASA, sitting for a minimum of 1 actuarial exam per year.

This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.

Skills and Abilities:

• Fundamental knowledge of core health actuarial concepts, including claims completion and IBNR, trend, PMPM/Cost per Claim/Cost per Utilizer basis, sensitivity analysis, etc.
• Comfort working with raw data and large claims, membership, and premium datasets in SQL and Excel: writing queries, reconciling to source totals, and validating results before sharing them, etc.
• Strong organization and attention to detail, with the ability to manage overlapping deadlines and competing priorities.
• Openness to new tools and ways of working, including automation and AI-assisted analysis, with the judgment to check their output.
• Regular habit of documenting work so others can regularly reference, review, and reproduce.

Work Schedule:

Community Care Plan is currently following a hybrid work schedule. The company reserves the right to change the work schedules based on the company needs.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee may occasionally be required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion.

Background Screening Notice:

In compliance with Florida law, candidates selected for this position must complete a Level 2 background screening through the Florida Care Provider Background Screening Clearinghouse.

The Clearinghouse is a statewide system managed by the Agency for Health Care Administration (AHCA) and is designed to help protect children, seniors, and other vulnerable populations while streamlining the screening process for employers and applicants.

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