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Form of workEmbrace better opportunities.
Are you passionate about health, happiness and helping others? So are we. We’re committed to helping our health plan Members live a happy and healthy lifestyle, and we believe that it starts here first, with our Associates.
At AvMed, we provide the tools and opportunities to enhance, expand, and support each Associate’s personal and professional growth. From tuition reimbursement to exercise classes in the office, embrace a better career with AvMed and join our team!
Position: Actuarial Analyst
Scope of position: The Actuarial Analyst is responsible for performing actuarial analysis in the development of liabilities and/or in support of pricing activities.
Essential Job Functions:
- Assists in the assessment of feasibility, anti-selection risk, marketability, alternative product options, existing product options, improvements, market needs, configuration issues, and portfolio placement of new products.
- Develops and analyzes financial projections.
- Assists in the development of risk adjustment projections for both the Commercial and Medicare product line.
- Provides assistance to underwriters and marketing in valuing groups’ benefit changes.
- Assists with the production and review of regulatory filings and related analyses.
- Assists and participates in negotiations and sales presentations with customers where appropriate.
- Researches, evaluates and analyzes medical care costs trends by region, market segment and product line and conduct variance analysis with respect to utilization and unit costs.
- Provides support in the development of operational systems and reporting tools for use by the Commercial Group Underwriting Unit to include automated excel-based rating programs and other actuarial tools used within the department.
- Assists in the development of underwriting guidelines and policies conducive to profitability and the avoidance of adverse selection.
- Assists 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.
- Performs additional duties and responsibilities as assigned by management
- Assists in the assessment of feasibility, anti-selection risk, marketability, alternative product options, existing product options, improvements, market needs, configuration issues, and portfolio placement of new products.
- Develops and analyzes financial projections.
We Offer:
- Competitive Salaries
- Comprehensive Benefits: Medical Plans, Health Savings Account, Dental, Vision, and more…
- Paid Time Off, Company Paid Holidays, Paid Time Off Cash-In
- 401(k)plan with matching contributions, Tuition Assistance, Associate Discounts
You have:
- Bachelors in Mathematics, Economics, Actuarial Services, or related field.
- Master’s preferred
- 1-2 years of years of working with risk models, mathematical or actuarial analysis, preferably in a health insurance field.
- Successful completion of at least one Society of Actuaries examination required two or more exams completed preferred.
- An equivalent combination of education and experience may be considered.
You May Also Have:
- Automated or Statistical Analysis Tools
- Analytical and Problem Solving
- Excellent verbal and written communication skills
- Strong analytical skills and financial analysis experience including experience with Excel, Word, and PowerPoint
- Demonstrates strong negotiating and influencing skills that are organized and constructed for successful outcomes, is well planned and prepared for, and is centered around “win-win” solutions
Environment:
At AvMed, you will find a family. Our Associates love all the opportunities for advancement, the flexible work environment and team activities. We also encourage our Associates to embrace a life rich in what matters most — health and happiness. We call it being WELLfluent. Join AvMed. Join the WELLfluent!
Location: Doral, Florida
This position is Hybrid 2 days in office and 3 days remote
AvMed is a tobacco/drug free workplace, EOE
