Summary:

• Identify opportunities to reduce medical expenses and collaborate with other areas to implement and monitor performance.
• Participate in product development, pricing, filing, and rating implementation of new products and strategies.
• Develop studies, analyses, and presentation materials needed to appropriately inform decision makers,
• Answer questions of less experienced staff.
  
  Responsibilities:
• Analyze and understand hospital, professional, and drug claim/utilization trends, membership/demographics, and financial variance to budget, and performs various other ad-hoc analyses.
• Maintain appropriate controls around models and other work products.
• Ensure quality and on time completion of deliverables.
• Provide support for coordination of quarterly close activities.
• Partner with key stakeholders to develop and finalize valuation methodologies.
• Prepare and analyze results and forecasts.
• Perform monitoring processes for trends and risk valuation calculations.
• Develop efficient and transparent queries to obtain data that is appropriate to the purpose with minimal assistance and oversight.
• Make appropriate recommendations to management across teams within the actuarial department.
• Proactively ensure the internal and external consistency of all work.
• Perform reasonability checks dependent on industry knowledge and experience.
• Develop and implement analyses for special projects.
• Provide technical and analytical support for both the Actuarial department and internal partners.
• Proactively take on additional work as needed by the team.
• Perform duties and assignments as directed or required.