Health Actuarial Analyst
A leading healthcare organization is seeking an Actuarial Analyst with strong commercial risk adjustment experience. This role involves running, interpreting, and communicating commercial risk adjustment model results and representing the organization in discussions with large‑group customers, brokers, and consultants. The position focuses on commercial risk models, financial risk assessment, actuarial documentation, and translating actuarial findings for internal and external stakeholders.
Role Responsibilities
- Run and interpret commercial risk adjustment models across commercial lines of business and present results to internal leadership and external clients.
- Research financial risk exposure and complete actuarial components of financial reports and regulatory documentation.
- Analyze product line performance, including pricing, reserves, valuation, cash flow, and related assumptions.
- Build and refine actuarial models, methods, and assumptions to support business needs.
- Monitor financial risk and identify opportunities using advanced actuarial analyses.
- Communicate actuarial findings, model outcomes, and financial impacts to senior leaders, employer groups, brokers, and consultants.
Must‑Have Qualifications
- Bachelor's degree in mathematics or related field
- Minimum 5+ years of actuarial experience
- Associate of the Society of Actuaries (ASA)
- Strong commercial risk adjustment experience
- Hands‑on experience running and interpreting commercial risk adjustment models
- Ability to clearly communicate results to large group customers, consultants, and brokers
Required Experience
- 5+ years actuarial experience in healthcare
- Demonstrated commercial risk adjustment expertise
- Ability to translate actuarial model results for internal and external stakeholders
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