Actuarial Analyst II or Actuarial Associate

Overview

This role provides direction and oversight for the development and maintenance of data, analyses, tools, reports, and rating and reimbursement structures needed to support products, services, and related business decisions.

Flexible work options may be available where approved and as stated in the job posting. Candidates who reside or plan to reside in the following states are not being considered: California, Connecticut, Hawaii, Illinois, Maine, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia, Vermont, Washington.

A video interview through Microsoft Teams will be required, along with the possibility of onsite interviews and meetings.

Responsibilities

• Provide direction for pricing, rate filings, and designs for all lines of business.
• Coordinate development of annual required rate filings for ACA and Medicare.
• Coordinate risk adjustment analysis and accrual development.
• Provide direction and oversight for analysis, forecasting, and reporting of claims experience and trends (in aggregate and by component).
• Analyze and develop financial statement reserves and other liabilities, including contingent settlements, incentive and risk-share payments, reinsurance claims, and other third-party claims and liabilities.
• Provide input and support for internal and external audits and reporting.
• Provide direction and oversight for development and maintenance of analysis, forecasting, administrative models, and reporting of budget projection inputs (in aggregate and by component).
• Provide direction and oversight for development, analysis, and reporting of facility, physician, and other provider reimbursement structures, models, and service utilization information.
• Coordinate and develop Retiree Drug Subsidy data reporting and submissions.
• Design, develop, and maintain data extracts, complex queries, and online data analysis and reporting tools.

Requirements

• Bachelor’s degree in math, statistics, computer science, economics, or finance obtained through an accredited institution (education is verified).
• Associate of the Society of Actuaries and four years of relevant actuarial experience.

Preferred Qualifications

• Understanding of underlying theory and effects of assumptions used in product development and maintenance.
• Knowledge of health insurance products.

Skills

• Analytical thinking
• Management reporting
• Product development
• Analytical software programs
• Teamwork
• Intermediate SQL
• Stop loss calculations
• Communication of results
• Actuarial health knowledge
• Finance statements

Physical Requirements

• Interact with others requiring verbal communication and the ability to hear and understand spoken information.
• Operate computers, telephones, office equipment, and manipulate paper requiring the ability to move fingers and hands.
• See and read computer monitors and documents.
• Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
• Manual dexterity and seeing.

Location

SelectHealth - Murray, Murray, Utah

Scheduled Weekly Hours: 40

Compensation & Benefits

• Hourly range: $51.11 - $80.45 (actual hourly rate dependent upon experience)
• Benefits include a comprehensive package supporting well-being (mind, body, and spirit) and wellness programs.

Equal Opportunity

Equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Additional Information

All positions are subject to close without notice.