Senior Actuarial Analyst

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🔥 3 hours ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟠 Senior

📊 Actuary

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Dayforce

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

👥 HR Tech

☁️ SaaS

🏢 Enterprise

💰 $1G Post-IPO Debt - Dayforce on 2024-03

HR Tech • SaaS • Enterprise

Dayforce is a cloud-based human capital management (HCM) platform offered by Ceridian. It provides payroll, HR, workforce management (time and attendance, scheduling), talent management, benefits administration, and analytics as a single SaaS application for employers. The product is delivered as a subscription SaaS solution and is targeted at mid-market and enterprise customers for managing employee lifecycle and workforce operations.

📋 Description

• Develop and maintain models to forecast risk-adjusted revenue across Medicare Advantage contracts • Analyze historical risk score trends, RAF accuracy, and coding opportunities to identify gaps and performance drivers • Support the annual budget process, quarterly projections, monthly accruals, and variance explanations • Evaluate the impact of HCC model updates and CMS rule changes on organizational revenue • Perform Ad-hoc Revenue Analysis to evaluate financial impacts of operational initiatives, clinical programs, membership shifts, and emergent business questions • Assist in monthly IBNR development and selection process. • Prepare necessary monthly reporting as a key contributor within the monthly closing cycle. • Develop and maintain models to forecast future medical cost and revenue and/or evaluate the financial impact of various interventions. • Partner with department heads to understand key business drivers and assumptions, ensuring alignment with strategic objectives. • Prepare comprehensive financial reports and variance analyses for senior management and key stakeholders. • Conduct ad hoc financial analyses to support special projects, strategic initiatives, and investment opportunities. • Analyze payor healthcare data (claims, utilization, costs) to identify trends, cost drivers, and opportunities for improvement. • End to end payor reconciliations (detail vs summary, external vs internal data feeds, and additional reconciliation as needed). • Payor outreach and internal point of contact related to file requests, data gaps, and other supplemental reporting and information available • Monitor and analyze key performance indicators (KPIs) and operational metrics to assess business performance and identify areas of improvement. • Collaborate with operational teams to develop actionable insights and recommendations for performance enhancement and risk mitigation. • Evaluate the cost-effectiveness and value of different healthcare interventions, programs, and policies. • Assist in the development of executive-level dashboards and reporting tools to track financial and operational performance against targets. • Collaborate cross-functionally with IT, finance, accounting, operations, and other departments to streamline processes, improve data accuracy, and enhance financial reporting capabilities.

🎯 Requirements

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, or related field required; MBA or advanced degree preferred. • At least of 3-6 years relevant Actuarial experience within healthcare preferred. • 2+ Actuarial Exams, Pre-ASA or ASA level • Prior experience within Medicare Advantage • Understanding of CMS-HCC models (v24/v28), CMS risk adjustment methodology, and RAF score calculation • Proficiency in modeling, forecasting, and/or variance analysis • Advanced proficiency in Microsoft Excel • Prior usage and strong understanding of SQL (2+ years preferred) • Understanding of profit and loss statements and ability to work with larger datasets behind them • Analytical, problem-solving, and critical thinking skills • Ability to work effectively in a fast-paced, dynamic environment and managing multiple priorities simultaneously • Strong interpersonal skills with the ability to collaborate cross-functionally and build positive working relationships at all levels of the organization. • Occasional travel required, no more than 10%-15%

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development