Actuarial Analyst II or Actuarial Associate

Location: SelectHealth - Murray

Provides direction and oversight of the development and maintenance of all necessary data, analyses, tools, reports, rating and reimbursement structures, etc., needed to support the products and services offered and the associated business decisions.

We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Maine, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia, Vermont, Washington.

Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings

Essential Functions

• Provides direction for pricing, rate filings and designs for all lines of business.
• Coordinates development of annual required rate filings for ACA and Medicare.
• Coordinates risk adjustment analysis and accrual development.
• Provides direction and oversight for the development and maintenance of analysis, forecasting, and reporting of claims experience and trends, both in aggregate and various components.
• Analyzes and develops financial statement reserves and other liabilities, contingent settlements, incentive and risk-share payments, reinsurance claims and other third-party claims and liabilities, etc.
• Provides input and support for internal and external audits and reporting.
• Provides direction and oversight of development and maintenance of analysis, forecasting, administrative models, and reporting of budget projection inputs, both in aggregate and various components.
• Provides direction and oversight of development, analysis, and reporting of facility, physician, and other provider reimbursement structures, models and service utilization information.
• Coordinates and develops Retiree Drug Subsidy data reporting and submissions.
• Designs, develops, and maintains data extracts and complex queries and on-line data analysis and reporting tools.

Skills

Analytical Thinking

Management Reporting

Product Development

Analytic Software Programs

Teamwork

Intermediate SQL

Stop Loss Calculations

Communication of results

Actuarial Health Knowledge

Finance Statements

Bachelor's degree in math, statistics, computer science, economics or finance obtained through an accredited institution. Education is verified.

Associate of the Society of Actuaries and four years of relevant actuarial experience.

Preferred Qualifications

Understanding of underlying theory and effects of assumptions used in product development and maintenance. Knowledge of health insurance products.

Physical Requirements

• Interact with others requiring employee to verbally communicate as well as hear and understand spoken information.
• Operate computers, telephones, office equipment, and manipulate paper requiring the ability to move fingers and hands.
• See and read computer monitors and documents.
• Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
• SH only
• Manual dexterity, seeing.

Location

SelectHealth - Murray

Work City

Murray

Work State

Utah

Scheduled Weekly Hours

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$51.11 - $80.45