Senior Actuary

Overview

This role involves conducting analysis, pricing, and risk assessment to estimate financial outcomes while supporting the Risk Adjustment team through data analytics, risk adjustment modeling, and complex data validation initiatives.

Responsibilities

• Run and analyze market-level results using CDPS+RX or other similar risk adjustment models
• Serve as the team’s point of contact for an assigned group of markets
• Apply mathematics, probability, statistics, principles of finance, and business knowledge to calculate financial outcomes
• Develop probability tables based on analysis of statistical data and other pertinent information
• Determine equitable bases for distributing money for insurance benefits
• Support data analytics and complex data validation initiatives
• Perform other duties as assigned and comply with all organizational policies and standards

Requirements

• Healthcare actuarial experience is highly preferred; Medicaid experience is preferred but not required
• Non-traditional actuarial role combining actuarial expertise with data analytics, coding, data validation, and risk adjustment
• Strong experience in data validation, manipulation, and quality assurance
• Strong problem-solving skills and the ability to work effectively as part of a team
• Strong coding and data analytics skills, particularly in SQL and large-scale data analysis
• Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred
• Education/Experience:
  • Bachelor’s Degree in Business or related field required
  • Either:
    • 7+ years of actuarial experience with an Associate in Society of Actuaries (ASA) designation, or
    • 5+ years of actuarial experience with a Fellow in Society of Actuaries (FSA) designation
• Licenses/Certifications:
  • Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required
  • MAAA membership is required

Preferred Qualifications

• Healthcare actuarial experience
• Medicaid experience
• Experience translating complex analyses into actionable business insights
• Interest in learning and implementing new technologies and processes

Compensation & Benefits

• Pay Range: $134,600.00 - $249,000.00 per year
• Comprehensive benefits package including:
  • Competitive pay
  • Health insurance
  • 401K and stock purchase plans
  • Tuition reimbursement
  • Paid time off plus holidays
  • Flexible approach to work with remote, hybrid, field, or office work schedules
• Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.
• Total compensation may also include additional forms of incentives.
• Benefits may be subject to program eligibility.

Location

• Fully remote
• Eastern and Central time zones preferred

Equal Opportunity

The organization is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.