Actuarial Analyst – Health Plan

🔥 2 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $70k - $80k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Actuary

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SCAN

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1977

⚕️ Healthcare Insurance

👥 B2C

Healthcare Insurance • B2C

SCAN is a mission-driven healthcare organization focused on reinventing aging by delivering evidence-based, patient-centered care and coverage for older adults. It operates an integrated portfolio including health insurance plans with innovative benefits, in-home and virtual primary care, support programs for caregivers and homebound older adults, and specialized services for vulnerable populations. SCAN also invests in and partners with companies that advance care models and resources to help older adults remain healthy and independent at home.

📋 Description

• Prepare and analyze data for Part D and develop comparisons between actual versus forecast. • Support ad-hoc analytics such as provider contracting, product development, and other customized projects to suit business needs. • Utilize the Data Warehouse efficiently to develop reports and extract data fields. • Analyze historical data trends in order to establish reasonable assumptions. • Assist the actuarial team with the development of Medicare Advantage bid pricings by keeping track of various input parameters and testing benefit scenarios. • Assist the financial budget and forecasts of pharmacy costs and the ongoing monitoring of actual results. • Proactively identify opportunities to streamline workflows, enhance model efficiency, and improve automation of existing processes. • Bring intellectual curiosity and a continuous improvement mindset to all assigned work, challenging the status quo where appropriate.

🎯 Requirements

• Bachelor’s degree in Actuarial Science, Mathematics, or Statistics or any other major with significant quantitative course work required. • 2-4 years of actuarial experience with healthcare, health plan, or managed care focus, or comparable actuarial consulting experiences. • Experience with Medicare, Medicaid, Part D, commercial health insurance, or network contracting for a health plan is highly preferred. • Performs work under general supervision. • Handles moderately complex issues and problems, and refers more complex issues to higher-level staff. • Possesses solid working knowledge of subject matter. • Technical expertise - Strong analytical skills. Microsoft Office Suite (Word, Excel including formulas, V-Lookups, and pivot tables, PowerPoint, Access, Outlook, Teams), and SQL at advance level is required. • Problem Solving - Basic problem solving skills and strong mathematics skills. • Communication - Good written and verbal communication and interpersonal skills.

🏖️ Benefits

• An annual employee bonus program • Robust Wellness Program • Generous paid-time-off (PTO) • Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday • Excellent 401(k) Retirement Saving Plan with employer match and contribution • Robust employee recognition program • Tuition reimbursement