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

Overview

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

The role also serves as a subject matter expert to internal and external stakeholders, partnering 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 and 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
• Conduct financial reconciliation for risk-sharing agreements
• Evaluate feasibility/opportunity for new 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 to manage risk and costs

Requirements

Minimum Requirements

• 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
• Passed at least 2 Society of Actuary (SOA) Actuarial Examinations

Preferred Qualifications

• Experience with financial close processes
• Experience supporting a Health Plan

Knowledge, Skills, & Abilities

• Training/Presentation
• Microsoft Office package
• Verbal communication
• Organization
• Complex problem solving
• 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 internal equity.

Benefits include:

• 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

Background Check Requirement

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

Location

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