Address
Form of work
SalaryCompany:
AHI agilon health, inc. Job Posting Location:
Remote - USA Job Title:
Manager, Actuarial Services Job Description:
Position Summary:
The Actuarial Market Manager will lead a team of market analysts in preparing medical margin models monthly and presenting results to the Market Finance team. He/she will attend regional JOCs to better understand nuances and drivers of market level trends. The Actuarial Market Manager will help to inform the annual budget/quarterly forecasts. Additionally, he/she will support the build-out of improved models and processes for the actuarial team.
Essential Job Functions:
- Lead and support a team of analysts that represent respective markets
- Attend Joint Operational Committee meetings (JOCs) to gain in depth knowledge of markets
- Inform reserve setting assumptions
- Review MA & ACO medical margin by market and identify common themes/outliers
- Present trends/PPD drivers to Market Finance team
- Inform annual budget/quarterly forecasts
- Provide guidance on business development/payer contracting assumptions
- Support build-out of improved actuarial team processes
- Support Market Finance requests/analyses
- Support conversations with health plans to address financial statement data issues/interpretation
- Review final cash settlements for MA payer contracts
- Review internal/external audit documentation
Other Job Functions:
- Grow and lead talent
- Exemplify companies’ core values
- Collaborate with Market Finance, FP&A, Accounting, Med Econ, and others
- Identifies critical issues and recommends solutions to business problems.
- Sets team objectives for assigned unit/area aligned with goals set by upper management
- Performs complex tasks typically following current established processes, while supporting the implementation of and adherence to new and/or evolved processes
Required Qualifications:
Minimum Experience
- 5+ years of actuarial experience
- Demonstrated leadership capability, has previously led others
Education/Licensure
- ASA or FSA designation
- Bachelor’s degree in Actuarial Science, Math, Economics or related field
Knowledge, Skills, and Abilities:
- Excellent communication, both written and verbal
- Strong understanding of Medicare Advantage and bidding process (Part D knowledge is a plus)
- Understanding of MA health plan data (Claims, MMR, MAO-04, etc.)
- Experience with reserving and forecasting
- Experience with value-based arrangements is a plus
- Proficiency with Excel and SQL
- Proven ability to work in a fast-paced environment where internal/external client satisfaction is key
- Experience presenting actuarial/financial concepts to a non-technical audience
- Proven problem solving skills (identification of issue, causes, solution, implementation plan)
- Proven ability to influence, grow, and motivate others
- Entrepreneurial and innovative spirit
Location:
Remote - TX Pay Range:
$129,700.00 - $162,100.00 Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.
