Job Description:

Bring your drive for excellence,
team orientation and customer commitment to Independence; help us renew and
reimagine our business and shape the future of health care.  Our
organization is looking to diversify, grow, innovate and serve, and we are
looking for committed, empowered learning-oriented people to join our team.
 If this describes you, we want to speak with you.

Description:
 
Duties – duties will vary depending on unit (Pricing, Medical Cost Analysis, Reserving/Planning)

The Actuarial Analyst II performs semi routine actuarial and statistical analyses to estimate financial outcomes.  Applies knowledge of mathematics, probability, statistics, and principles of business to complete health calculations. 

Pricing (Commercial or Medicare)

• Prepares
  data for pricing research, including experience and trend analyses, book of
  business studies, CMS revenue and risk score analysis, etc.


• Prepares
  rating information packages to be delivered to underwriting and other internal
  customers.


• Prepares
  rate filings for State Insurance Departments, CMS and other regulatory
  agencies.


• Prepares
  and gathers the information necessary for special projects such as demographic
  factors, competitive analysis and other, as required.


• Performs
  other duties and special projects as required.

• Prepares
  analysis and monitors claims trends for each line of business.  Segregates cost, utilization, mix of
  services, coverage types and effects of benefit and demographic changes.


• Prepares
  reports of medical cost results, both historical and projected. 


• Supports
  the valuation of medical cost initiatives and tracking of performance against
  goals.


• Supports
  the development of trend projections.


• Performs
  other duties and special projects as required.

• Develops,
  calculates and monitors accruals, liabilities and reserves for lines of business
  assigned.  Works with the actuary or
  management to ensure proper formulae are developed and applied. 


• Develops
  interim estimates of refund liabilities for large accounts and accounts on
  alternative financial arrangements.  May
  coordinate with Finance and Rating/ Underwriting departments to ensure that
  ratings methodologies are properly projected and accrued.


• Develops
  and calculates reserves for new products. 
  Incorporates settlement terms as contained in various filings,
  agreements with accounts. 


• Compiles
  data to support monthly financial forecasts of premium and claims. 


• May
  assist with preparing the actuarial portions of financial statements and
  federal income tax returns and compiles, evaluates and certifies statistical
  data.


• Performs
  other duties and special projects as required.

Qualifications

• Bachelors
  degree in Mathematics, Statistics, Economics, Actuarial Services, or
  related field or equivalent work experience. 


• Completion of
  actuarial course exams P, FM , IFM, LTAM and associated VEE credits, and a
  minimum of two years of experience is required. 


• Solid
  mathematical background including experience working with risk models,
  actuarial or mathematical analysis, and using automated or statistical
  analysis tools,


• Proficiency in
  Excel required. 


• Knowledge of
  SQL server a plus.


• Excellent
  organizational, analytical, and communication skills required.