Company:
AHI agilon health, inc.Job Posting Location:
Remote - USAJob Title:
Actuarial AnalystJob Description:
This position is not eligible for current or future sponsorship or employer-supported work authorization by agilon health. Applicants must be able to accept and maintain employment with agilon health in the United States for the full duration of their employment without sponsorship or work authorization support.
The Actuarial Analyst will work under the guidance of a regional manager to update medical margin models for their respective markets. Models will inform monthly close results as well as budget/quarterly forecasts. The Actuarial Analyst will be responsible for identifying drivers of prior period development as well as providing insight into emerging trends in the market. He/she will prepare audit documentation and perform analyses to support ad hoc requests from Market Finance and Business Development.
Essential Job Functions:
For Assigned Market:
Update medical margin models for monthly close process
Research and identify prior period development in medical margin
Use med econ tools to provide deep insight of trend drivers
Prepare materials for presenting close results to Market Finance leaders
Calculate final cash settlements for MA payer contracts
Prepare internal/external audit documentation
Inform assumptions for budget/quarterly forecasts
Perform analyses to support adhoc requests from Market Finance team
Support business development/payer contracting assumptions
Other duties as assigned
Other Job Functions:
Exemplify companies’ core values
Collaborate with Market Finance, FP&A, Accounting, Med Econ, and others
Required Qualifications:
Minimum Experience
managed care organization
Education/Licensure:
Bachelor’s degree in Actuarial Science, Math, Economics or related field
2+ actuarial exams passed
Knowledge, Skills and Abilities:
claims and membership data)
Experience in actuarial field including the knowledge of best techniques for
analyzing healthcare issues and modeling solutions
Familiar with IBNR reserve development, product pricing
Health insurance product knowledge with a particular focus on Medicare
Advantage
Proficient in Excel and SQL
Strong communication, both written and verbal
Ability to work in a fast-paced environment where internal/external client
satisfaction is key
Entrepreneurial and innovative spirit
Essential Physical Functions:
These are requirements normally expected to perform regular job duties. Incumbent
must be able to successfully perform all the functions of the job with or without accommodation.
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Location:
Remote - TXPay Range:
$87,000.00 - $106,600.00Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.
Agilon Health is a healthcare company specializing in value-based care and Medicare Advantage products. The company leverages AI and data analytics to drive clinical insights, early disease identification, and improved patient outcomes across their markets. Agilon Health develops production-grade AI products using large language models, natural language processing, and machine learning tools to process unstructured clinical data and support clinical decision-making. The organization operates through a market-based structure with teams focused on medical margin analysis, actuarial modeling, and clinical operations to optimize care delivery and financial performance.
