What are the responsibilities and job description for the Manager Actuarial Services - Medicare | Remote position at Perform RX?
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 nation's 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 connect with 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:
- Produces actuarial forecasts including revenue and claims, development of medical and pharmacy trends and analysis of benefit and population changes.
- Manages monthly reporting of Medicare Advantage product performance and determines drivers of performance variances to monthly budgets.
- Supports the annual Medicare Bid process through Claim projections, Benefit pricing and other actuarial analyses as needed.
- Tracking performance of Medicare Advantage Supplemental Benefits relative to Medicare Bid pricing.
- Leads the actuarial component of Value Based Care (VBC) Medicare Advantage Strategy and supports financial reporting of existing VBC initiatives.
- Manages all other actuarial processes and analyses in support of Medicare Advantage products.
- Responsible for management and execution of all actuarial functions in support of Medicare Advantage products and assures that all work is done based on sound actuarial principles.
Education/ Experience:
- Bachelor’s Degree actuarial science, statistics, or mathematics or other business field required.
- Associate of the Society Actuaries (ASA) required. FSA preferred.
- 3 years experience working with Medicare Advantage is required.
- Minimum of 7 years progressively responsible actuarial experience in managed healthcare or related field, with significant project and/or people management experience.
- Strong technical skills including MS Excel, MS Access, and SQL. SAS experience is preferred.
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.
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