Actuarial Associate (Full-time Remote, North Carolina Based)

Overview

This full-time remote role analyzes and interprets data related to cost, membership, capitation, rate-setting, Incurred But Not Reported (IBNR), and other items as needed. The position uses tools such as SQL and Excel to model data, assess financial risk, and help develop exhibits that support the communication of financial outcomes.

The Actuarial Associate also serves as a subject matter expert to internal and external stakeholders and partners with teams to produce actionable insights.

Some travel for onsite meetings to the home office may be required.

Responsibilities

Risk Assessment and Modeling

• Evaluate information to determine potential risks of certain events and their financial impact on the organization.

PMPM Development / Monitoring

• Analyze actual vs. budgeted PMPM rates by Category of Service.
• Evaluate causes of healthcare expense patterns.

IBNR Calculations

• Support development, maintenance, and preparation of IBNR models, lag schedules, and liability calculations.
• Adjust and refine IBNR models based on changes in the organization, the environment, or additional risks.

Value-Based Contracts

• Assist with Value Based Contract assessment and reporting.
• Undertake financial reconciliation for risk sharing agreements.
• Evaluate feasibility/opportunity for new VBC arrangements.

Rate Setting

• Become an internal SME on State Rate developments.
• Analyze the rate book provided by the state to validate assumptions.

Documentation and Process

• Assist the Actuarial Function in creating documented procedures to support completion and IBNR.

Socialization and Presentation

• Present and communicate complex statistical and mathematical information.
• Develop and present strategies and solutions that manage risk and costs.

Requirements

Education & Experience

• Bachelor’s Degree in Actuarial Science, Mathematics, Business, or related field from an accredited college/university
• At least three (3) or more years of related experience in an Actuarial capacity

Examinations

• Must have passed at least 2 Society of Actuary (SOA) Actuarial Examinations

Preferred Qualifications

• Experience with Financial Close Processes
• Experience supporting Health Plan

Knowledge, Skills, & Abilities

• Microsoft Office Package
• Verbal communication
• Complex problem solving
• Organization
• Time management and prioritization
• Written communication and reporting
• SQL

Compensation & Benefits

Salary Range

• $79,425–$101,267 annually

Exact compensation will be determined based on the candidate’s education, experience, external market data, and consideration of internal equity.

An excellent fringe benefit package accompanies the salary, including:

• Medical, Dental, Vision, Life, Long Term Disability
• Generous retirement savings plan
• Flexible work schedules including hybrid/remote options
• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility

Location

• Full-time remote
• Some travel for onsite meetings to the home office may be required.

Additional Information

Employment for this position is contingent upon a satisfactory background and credit check, which will be performed after acceptance of an offer of employment and prior to the employee’s start date.