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Health First Actuarial Analyst III- Actuarial and Underwriting (must reside in Florida) in Rockledge, Florida

*POSITION SUMMARY *

Subject matter expert for the actuarial department in one or more of the following areas: Filings, product development, financial valuation and reporting, population health management.

*PRIMARY ACCOUNTABILITIES *

  1. Develop financial models for the monitoring and projection of current and future business.
  2. Maintain rating models and data base support programs used in the actuarial department. Update for appropriate actuarial standards of practice, laws and regulations.
  3. Develop and maintain models for the calculation of appropriate claims and other reserves.
  4. Develop management reports necessary for the financial management of all products.
  5. Support the development of required state and federal premium rates and other filings.
  6. Assist in the determination of cash reserves (IBNR), risk funding mechanisms (SSA, 3-R’s, etc.), budget projections, and all other financial modeling including development of provider payment mechanisms
  7. Will be considered a Subject Matter Expert in at least one of the above disciplines: Filings, Product Development, Financial Valuation and Reporting, or Population Health Management.

*MINIMUM QUALIFICATIONS *

  • Education: : BS or BA degree in Mathematics, Actuarial Science, or related field from accredited college or university with a 3.4 GPA.
  • Licensure: None Required
  • Certification: Passed three actuarial exams.
  • Work Experience: 2 years of experience in at least one of the following support responsibilities: Filings, Product Development, Financial Valuation and Reporting, or Population Health Management.
  • Knowledge/Skills/Abilities: o Possess strong computer abilities with emphasis on Microsoft Excel, SQL or other programming language. o Knowledge of laws, government regulations, and agency rules for managed care controls. o Some level of understanding of insurance and associated terminology. o Strong background in arithmetic, algebra, geometry, calculus, statistics, and their applications. o Knowledge of economics and accounting principles and practices, and reporting of financial data. o Knowledge of document structure and content, including spelling, grammar and rules of composition. o Be able to perform support tasks autonomously for at least one of the following responsibilities as described above: Filings, Product Development, Financial Valuation and Reporting, or Population Health Management.
    o Has demonstrated an ability to work directly with Underwriting, Risk Adjustment, Finance, Decision Support, Group Services and/or Senior Management.

PREFERRED QUALIFICATIONS

  • Education: No additional education required.
  • Licensure: No additional required.
  • Certification: No additional required.
  • Work Experience: No additional required.
  • Knowledge/Skills/Abilities: No additional required.

*PHYSICAL REQUIREMENTS Sedentary – Office Workers *

  • Majority of time involves sitting or standing; occasional walking, bending, stooping.
  • Long periods of computer time or at workstation.
  • Light work that may include lifting or moving objects up to 20 pounds with or without assistance.
  • May be exposed to inside environments with varied temperatures, air quality, lighting and/or low to moderate noise.
  • Communicating with others to exchange information.
  • Visual acuity and hand-eye coordination to perform tasks.
  • Workspace may vary from open to confined; on site or remote.
  • May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle.

Job: *Finance

Organization: *HF Administrative Plan Inc

Title: Actuarial Analyst III- Actuarial and Underwriting (must reside in Florida)

Location: Florida - Brevard County-Rockledge

Requisition ID: 074732

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