Actuarial Analyst II

Overview

This role supports actuarial and data analytics for risk-adjusted business across ACA, Medicare Advantage, and Medicaid. Responsibilities include analyzing risk scores, financial impacts, and performance metrics, as well as developing insights to guide risk adjustment strategy, reporting, and pricing/forecasting efforts. Strong analytical skills and the ability to translate data into actionable business recommendations are required.

Responsibilities

• Perform or support actuarial analytics on risk-adjustable lines of business, including ACA, Medicare Advantage, and Medicaid.
• Perform or support CMS-HCC and HHS-HCC risk score projections, including RATP, MA MYRA/FYRA accruals, and RADV financial impacts.
• Perform or support data analytics and reporting to inform risk adjustment operations, strategy, submissions, and vendor performance.
• Perform or support financial metrics pertaining to risk adjustment performance, including but not limited to intervention ROI.
• Collect and analyze data for financial and utilization reporting and monitoring.
• Support pricing and forecast efforts, including ACA pricing and MA Bid submissions.

Requirements

• Bachelor’s degree required, preferably in Mathematics, Statistics, Actuarial Sciences, or a related field from an accredited college or university.
• 2+ years of actuarial and/or statistics experience OR attainment of Associate level in the Society of Actuaries (ASA).

Knowledge and Skills

• Working knowledge of Excel.
• Good oral and written communication skills.
• Strong analytical thinking.
• Strong mathematical skill and statistical analysis abilities.
• Good judgment and problem solving skills.

Preferred Qualifications

• ASA candidate.
• Experience with SAS or other programming languages.
• Knowledge of data analysis and actuarial principles.

Compensation & Benefits

• Salary Range: $79,100 - $105,945
• This compensation range is specific to the job level and takes into account factors including education, experience, licensure, certifications, geographic location, and internal equity. Compensation decisions depend on the circumstances of each case.
• Comprehensive health benefits (Medical/Dental/Vision)
• Retirement Plans
• Generous PTO
• Incentive Plans
• Wellness Programs
• Paid Volunteer Time Off
• Tuition Reimbursement

Location

Employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware.