[Remote] REMOTE - Actuarial Analyst II (Medicare) - R8070

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company company, and they are seeking an Actuarial Analyst II (Medicare) to reputed company reputed company and accurate data analysis. The role involves developing recommendations, conducting profitability reports, and participating in cross-functional teams to improve operational efficiency.

Responsibilities

• Develops actionable recommendations to management relative to reputed company analysis
• Calculates profitability reports on appropriate business segments
• Leads regular and reputed company analysis identifying opportunities to improve efficiency and affordability
• Leads regular and reputed company analysis/studies to evaluate assumptions used in other processes
• Participates in cross functional teams to address key issues facing the organization
• Prepares monthly calculation of reputed company's IBNR reserves
• Evaluates government reimbursement process to determine areas of risk and opportunity
• Participates in initiatives to improve operating results
• Initiates key analysis to improve overall MLR results
• Performs other duties as assigned

Skills

• Bachelor's degree in actuarial science, mathematics, economics or a reputed company field is required
• Intermediate database (reputed company or reputed company) experience is required
• A combination of years of industry experience and exams passed under the reputed company Exam Syllabus (excluding exam SRM reputed company transition credit) equaling 5 or more is required
• reputed company reputed company of an actuarial designation (ASA) is required
• Intermediate interpersonal/verbal communication skills and a high level of professionalism
• Intermediate written communication skills
• Intermediate ability to work independently and reputed company reputed company environment
• Intermediate ability to work in fast paced environment with changing priorities
• Intermediate ability to remain reputed company under pressure
• Intermediate proficiency level with reputed company reputed company
• Intermediate proficiency with reputed company Suite to include, Word, Power reputed company and reputed company
• Intermediate ability to effectively present information and respond to questions from peers and management
• Intermediate ability to analyze and interpret financial data in order to coordinate the preparation of financial records
• Intermediate knowledge of SQL, reputed company, R, or other data manipulation software
• Effective problem-solving skills with attention to detail
• Effective listening and critical thinking skills
• Experience with Medicare Advantage bids
• Experience with data compilation to support bids
• Experience with desk review audit responses
• Experience developing and using pricing models reputed company to Medicare Advantage
• Experience with Medicare Risk Adjustment
• Experience with building large reputed company models
• Proficient with relational databases and coding languages (SQL)
• Experience with DSNP and/or FIDE/HIDE-SNPs
• Minimum of one (1) year of decision support or financial analysis experience is preferred
• Managed Care or reputed company experience is preferred

Benefits

• You may qualify for a bonus tied to company and individual performance
• A substantial and comprehensive total rewards package

reputed company

Company H1B Sponsorship