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

Overview

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

In addition, the Actuarial Associate serves as a subject matter expert for internal and external stakeholders and partners with teams to produce actionable insights.

This position is full-time remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the Home office may be required for meetings.

Responsibilities

Risk Assessment and Modeling

• Evaluate information to determine potential risks of certain events and their financial impact on the organization
• PMPM development and monitoring: analyze actual vs. budgeted PMPM rates by category of service and evaluate the causes of healthcare expense patterns

IBNR Calculations

• Support the 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 that may arise

Value-Based Contracts

• Assist in the development of Value Based Contract assessment and reporting
• Undertake financial reconciliation for risk sharing agreements
• Evaluate feasibility/opportunity for new Value Based Contract (VBC) arrangements

Rate Setting

• Become an internal subject matter expert 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 to others
• 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
• Candidate must have passed at least 2 Society of Actuaries (SOA) Actuarial Examinations

Knowledge, Skills, & Abilities

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

Preferred Qualifications

• Experience with financial close processes
• Experience supporting a health plan

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.

Benefits

• 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

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.

Location

Remote (North Carolina required). Some travel for onsite meetings to the home office may be required for meetings.