Actuarial Analyst

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.

What You’ll Do:

• 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

• Analyzing extensive datasets to identify trends, patterns, and areas for improvement in pricing methodologies

What to Bring:

• 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

Preferred experience:

• 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.

What You’ll Get:

• 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.