at Prime Therapeutics in Springfield, Illinois, United States
Job Description
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Actuarial Analyst Associate – Remote
Job Description Summary
Provides the Actuarial team support in one or more of the company’s health plans, in areas of rate adequacy, claims reserving, cost of care forecasting and planning. Responsible for maintaining complex cost models and the preparation of required regulatory reporting while operating in a fast-paced, small team environment.
Job Description
Job Profile Summary
Provides the Actuarial team support in one or more of the company’s health plans, in areas of rate adequacy, claims reserving, cost of care forecasting and planning. Responsible for maintaining complex cost models and the preparation of required regulatory reporting while operating in a fast-paced, small team environment.
+ Provides actuarial market support for one or more of the company’s full-risk managed health plan programs.
+ Supports actuarial activities in regard to monthly financial close process.
+ Develops and/or maintains analytical cost models in support of claims reserving, forecasting, reporting or similar.
+ Provides pricing analytics supporting state and/or federal governing agency engagement on rate setting issues.
+ Supports actuarial aspects of required health plan regulatory reporting.
+ Performs medical cost analyses as needed.
Responsibilities
+ Activepursuitofactuarialdesignation(ASA-AssociateoftheSocietyofActuaries/FSA-FellowoftheSocietyofActuaries) preferred.
+ Experience working in comprehensive managed health care plan environment preferred
+ Experience working in Managed Medicaid and/or Medicare plan preferred.
+ Experience with data manipulation tools (SQL/SAS or similar) required.
+ Perform data analyses, reporting, and projections
+ Perform ad hoc pharmacy data mining and analyses to help investigate and answer challenging questions regarding actuarial data and concepts
+ Support and maintain financial and actuarial models
+ Provide detailed summaries, reports, and recommendations to assist in managerial decision making
+ Present results and analyses to manager
+ Other duties as assigned
Work Experience
Work Experience – Required:
Actuarial
Work Experience – Preferred:
Education
Education – Required:
Bachelors – Actuarial Science, Bachelors – Mathematics
Education – Preferred:
Certifications
Certifications – Required:
Certifications – Preferred:
Potential pay for this position ranges from $59,610.00 – $95,370.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/careers/benefits/) and click on the “Benefits at a glance” button for more detail.
Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.
Prime Therapeutics’ fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today’s health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people’s lives.
Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. ? If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.
