Senior Actuarial Analyst

Responsibilities:

• Maintain internal CMS HCC and RxHCC models for calculating member level risk scores.
• Support the monthly close process, including the development of actuarial risk adjusted revenue accruals and analysis of results.
• Build reports to track ROI on various risk adjustment initiatives.

Qualifications:

• At least one year experience in health insurance; Medicare experience is preferred.
• Completed at least two actuarial exams.
• Two years experience with Medicare Risk Adjustment, CMS EDS submissions, and healthcare claims data.

Benefits:

• Competitive base salary and equity opportunities.
• Comprehensive medical, dental, and vision coverage.
• Generous flexible time-off policy.