Government Programs Actuarial Analyst II
Core
Subject matter expert for Medicare and Dual Eligible lines of business, supporting valuation, pricing, forecasting, and risk management for an integrated healthcare system.
Role type
Actuarial Analyst II (Government Programs)
Builds
Premium Deficiency Reserves, budgets, forecasts, and bid documentation for Medicare Advantage and D-SNP.
Domain
Healthcare insurance / Government programs (Medicare)
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Actuarial reserving (IBNR), pricing analysis, regulatory reporting, data analysis, financial modeling, trend analysis
Preferred skills
Experience with Medicare Advantage, DSNP, or government programs
Technologies
SQL, SAS, VBA, Microsoft Office
Responsibilities
Lead monthly reserving process and communicate financial results; Support quarterly forecasting and Premium Deficiency Reserve calculations; Contribute to Medicare and D-SNP bid development; Support regulatory and financial reporting requirements; Develop actuarial analyses, pricing studies, and dashboards; Monitor emerging risks to financial performance.
Seniority
Mid-level IC (2+ years experience)