Actuarial Associate

🔥 12 hours ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $79.4k - $101.3k / year

⏰ Full Time

🟡 Mid-level

📊 Actuary

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Alliance Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Alliance Health is a regional health plan serving residents of several North Carolina counties by administering Medicaid and state-funded behavioral health and specialty services. It operates Tailored Plan coverage and Medicaid Direct options that integrate physical health, pharmacy, behavioral health, intellectual/developmental disability (I/DD), and traumatic brain injury (TBI) services, provides 24/7 behavioral health crisis support, member and provider portals, community trainings and outreach, and coordinates care through provider networks and governance committees.

📋 Description

• Analyze and interpret data related to cost, membership, capitation, rate-setting, IBNR, and other items • Use SQL and Excel to model data and assess financial risk • Develop exhibits to assist in socialization of financial outcomes • Serve as a subject matter expert to internal and external stakeholders • Partner with teams to produce actionable insights • Evaluate potential risks and their financial impact on the organization • Analyze actual versus budgeted PMPM rates by Category of Service and evaluate healthcare expense patterns • Support development, maintenance, and preparation of IBNR models, lag schedules, and liability calculations • Adjust and refine IBNR models based on organizational, environmental, or emerging risk changes • Assist with Value-Based Contract assessment and reporting • Undertake financial reconciliation for risk-sharing agreements • Evaluate feasibility and opportunity for new Value-Based Contract arrangements • Become an internal SME on state rate developments • Analyze state-provided rate books to validate assumptions • Assist in creating documented procedures supporting completion and IBNR • Present and communicate complex statistical and mathematical information • Develop and present strategies and solutions that manage risk and costs • Travel to the Home office for onsite meetings may be required

🎯 Requirements

• Bachelor’s Degree in Actuarial Science, Mathematics, Business, or related field from an accredited college/university • At least three (3) or more years of related experience in an Actuarial capacity • Passed at least 2 Society of Actuary (SOA) Actuarial Examinations • Experience with Financial Close Processes preferred • Experience supporting Health Plan preferred • Training/Presentation skills • Microsoft Office Package • Verbal communication • Organization • Complex problem solving • Time management and prioritization • Written communication and reporting • SQL • Satisfactory background and credit check required

🏖️ Benefits

• Medical, Dental, Vision, Life, Long Term Disability • Generous retirement savings plan • Flexible work schedules including hybrid/remote options • Paid time off including vacation, sick leave, holiday, management leave • Dress flexibility