Summary:

• Identify opportunities to reduce medical expenses and collaborate with other areas to implement and monitor performance.
• Develop studies, analyses, and presentation materials needed to appropriately inform decision makers.
• Complete pricing analysis, experience analysis and studies, financial projections, and other actuarial/financial calculations.
• Run, modify, and create data queries to produce analysis and reports.

Responsibilities:

• Perform actuarial tasks which are of a mathematical and quantitative nature.
• Support analysis of hospital, professional, and drug claim/utilization trends, membership/demographics, and various other ad-hoc analyses.
• Maintain appropriate controls around models and other work products.
• Ensure quality and on time completion of deliverables.
• Assist with rate filings or valuation calculations.
• Support preparation of forecasts and monitoring of results or trends.
• Support development of efficient and transparent queries to obtain data that is appropriate to the purpose.
• Ensure internal and external consistency of all work.
• Perform reasonability checks dependent on industry knowledge and experience.
• Develop and implement analyses for special projects.
• Provide technical and analytical support for the actuarial department.
• Proactively take on additional work as needed by the team.
• Perform duties and assignments as directed or required.