Upvote
Downvote
Actuarial Analyst II
Share Job
- Suggest Revision
Full-time
- City/StateGainesville, FLOverviewWork ShiftFirst (Days) (United States of America)AvMed, a division of Sentara Health Plans in the Florida market, is hiring an Actuarial Analyst II in Miami or Gainesville Florida.
- Assists in and takes ownership of the development of risk adjustment projections for both the Commercial and Medicare product line.
- Assists in and takes the ownership of the unit Manager with the coordination of all regulatory audit activities for the Underwriting and Financial Department, including DFS Market Conduct Exams, Medicare ACR audit and OPM audit.
- Minimum completion of three Actuarial exams with continued progress towards Society of Actuaries credential.
- Experience in at least 3 of the following areas:- IBNR and reserve setting- General pricing and filing support of Individual products- General pricing and filing support of Small Group products- General pricing and filing support of Large Group products- Assist in Medicare Advantage Bid filing- Evaluation of Managed Medicaid programs- Provider Contract evaluations- Provider Profit/withhold settlement evaluations- Product Experience Monitoring- Reinsurance/Stop-loss Reporting
Active Job
Updated TodaySimilar Job
Relevance
Active