What are the responsibilities and job description for the Actuarial Analyst | Hybrid position at Amerihealth Caritas?
This role is hybrid and requires 3 days / week in the office in Newtown Square, PA.
Your career starts now. We are looking for the next generation of health care leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to hear you.
Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Responsibilities :
- Calculates, monitors and assesses impact of benefit and provider reimbursement changes, cost containment programs, on medical cost and trends. ;
- Develops and maintains spreadsheets and databases for purposes of trend and data analytics
- Performs monthly data analysis projects to assist senior analysts
- Develops forecasting models for re-forecasts and expected budgets
- Assists in developing cost projections for contact period negotiations.
- Performs monthly review of outstanding claim liabilities to assist in determining appropriate medical expenses and book reserves.;
- Populates quarterly reporting templates for LOBs.
- Prepares internal and external communications, including that with regulatory authorities and internal management.
- Uses best practice models and other industry recognized pricing tools.
Education / Experience :
Diversity, Equity, and Inclusion
At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
We keep our associates happy so they can focus on keeping our members healthy.
Our Comprehensive Benefits Package
Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k), Tuition reimbursement, and more.
