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SalaryYour 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, 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:
- Manages preparation of actuarial financial reporting for assigned Medicaid lines of business – including internal GAAP, DOI statutory, State Medicaid requirements, and Audit Support requirements.
- Prepares actuarial certifications, opinions, and actuarial memorandums where required.
- Leads analyses in support of benefit and provider reimbursement changes, cost containment programs, and revenue rate changes/adjustments from State Medicaid offices.
- Works closely with various business partners, including but not limited to Actuarial Pricing & Planning Experts (APEX), Actuarial Modeling & Business Intelligence (AMBI), Finance, Accounting, and Market Operations.
- Produces actuarial forecasts including revenue and expense, development of medical and pharmacy trends, analysis of benefit and population changes, and analysis of contractual requirements on profitability.
- Manages reporting and analyses identifying trends and profitability drivers for lines of business.
- Manages all other actuarial processes and analyses in support of assigned lines of business.
- Responsible for management and execution of all actuarial functions in support of assigned lines of business and assures that all work is done based on sound actuarial principles.
- Responsible for managing all staff in support of the assigned lines of businesses, including organization, hiring, development and assuring quality work product.
Education/ Experience:
- Bachelor’s Degree actuarial science, statistics, or mathematics or other business field
- Preferred but not required:
- Member of Academy of Actuaries with FSA or ASA
- Minimum of 5 years progressively responsible actuarial experience in managed healthcare or related field, with significant project and/or people management experience.
- Medicaid actuarial experience is highly preferred.
- 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
Flexible work solutions including remote options, hybrid work schedules, 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.
