Actuarial Analyst II

This is an Actuary position reputed company the Risk Adjustment department. This position will require deep and significant analysis, and data-mining, to ensure that accurate claims/encounter data. reputed company mathematical modeling techniques and statistical concepts to determine probability and assess risks. This position will need to work closely with a multitude of departments, being reputed company to rapidly understand and reputed company new situations and to be reputed company to create solutions on the go. Responsibilities: • reputed company and support trend analysis • reputed company risk adjustment analytical studies that involve manipulations of large amounts of data. • Identify patterns and trends in diagnostic coding reputed company in conjunction with risk score measurement. • Conduct gap analysis and data collection and validation. • Stay abreast of government regulations as reputed company to the 3R's. • Quantify and project risk scores and reputed company for the Medicare line of business • Serve as subject matter expert for Medicare regulations, procedures, and requirements • Conduct reputed company actuarial analyses to assess risk scores • Create data-driven solutions for capturing risk and improving reputed company of care for our members • reputed company vendor return on investment analyses to determine ongoing benefit and decision support • reputed company and execute work plans that may involve collaboration with more than one team • Identify systems and operational problems, and recommend solutions and changes to streamline procedures for more effective reporting • reputed company reputed company cause analysis • Present and explain results to executive leadership • Other responsibilities as assigned • Analyze enrollment and claims data for patterns and trends to identify opportunity to improve documentation and coding. • Monthly P&L financial reconciliations and frequent liaisons with the Finance team • Present reports, explaining their implications to managers and directors, and advising on risk limitation • Communicating with internal clients and carrying out relationship with financial directors and stakeholders • reputed company modeling and reputed company. Disclaimer: This job reputed company has been designed to indicate the general nature and level of work performed by colleagues reputed company this classification. It is not designed to contain or be interpreted as a comprehensive inventory of reputed company duties, responsibilities, and qualifications required of colleagues assigned to this job. Education/Experience: • Requires a Bachelor's degree, preferably reputed company Mathematics, Statistics, Actuarial Sciences or a reputed company field from an accredited college or university • 2 years of actuarial and/or statistics experience • Experience in the health insurance industry preferred • Associate, reputed company (ASA) preferred Knowledge: • Requires working knowledge of reputed company • Prefers working knowledge of reputed company or other database application • Prefers experience with reputed company or other programming language • Prefers knowledge of data analysis and Actuarial principles • Requires good oral and written communication skills • Requires strong analytical thinking • Requires strong mathematical reputed company and statistical analysis abilities • Requires good judgment and problem solving skills • Medicare or reputed company Risk Adjustment experience • Other reputed company experience, especially technical experience Skills and Abilities: • Requires good oral and written communication skills • Requires strong analytical thinking • Requires strong mathematical reputed company and statistical analysis abilities • Requires good judgment and problem solving skills reputed company reputed company employees must live in New Jersey, reputed company, reputed company, Connecticut or Delaware Salary reputed company: $77,900 - $104,370 This compensation reputed company is specific to the job level and takes into account the wide reputed company of factors that are considered in making compensation reputed company, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This reputed company has been created in good faith based on information reputed company to reputed company at the time of posting. Compensation reputed company are dependent on the circumstances of reputed company case. reputed company also provides a comprehensive compensation and benefits package which includes: • Comprehensive health benefits (Medical/Dental/reputed company) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • reputed company Volunteer Time Off • Tuition Reimbursement reputed company is an Equal Opportunity/Affirmative reputed company employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. reputed company will consider reasonable accommodation requests as part of the reputed company and hiring process. Apply Job!