Job added in hotlist
Applied job
Contract job
90-day-old-job
part-time-job
Recruiter job
Employer job
Expanded search
Apply online not available
View more jobs in Farmington, CT
View more jobs in Connecticut
View Similar Jobs

Job Details

Actuarial Analyst

Company name
ConnectiCare

Location
Farmington, CT

Apply for this job






13 hit(s)  

Profile

This position will perform actuarial analyses for Commercial and Medicare business including, but not limited to: medical expense analyses and projections, determining rates and preparing supporting documentation for rate filings with DOI and HHS/CMS, pharmacy analytics and projections, building and maintaining rate models, analyzing data in support of monthly reserve process, and ad hoc actuarial analyses.

Key Accountabilities:

Provide data and support for the development of rate filings for submission to the Department of Insurance. Includes support documentation.

Provide data and support for the development of Medicare Advantage bids for submission to CMS. Includes support documentation.

Closely monitors and assesses competitors’ rates, trends and rating methodologies.

Supports various initiatives as needed by actuarial modeling.

Develops/enhances ad hoc reports to assist in actuarial analyses of emerging results.

Creates and maintains large databases of information utilizing a unique skill set of spreadsheet and relational database abilities.

Conducts cross-functional analysis of health care data to identify trends and risks.

Develop data and reports in support of reinsurance, risk adjustment and risk corridors, ensuring accurate impacts in pricing and coordination with MLR rebate determination.

Drill into medical expense problem areas, and provide results to Medical Management and Network Operations in order to determine, implement and monitor solutions.

Develops/enhances ad hoc reports to assist in financial analysis of operating results and support for actuarial analyses key to understanding financial position.

Assess the financial or pricing impact of variations in benefits and provider contracts.

Estimate mandated benefit cost and calculate pricing of non-standard benefits and requested riders

Tracks trends and reports pertinent financial and utilization information.

Perform other related projects and duties as assigned.

Required Skills

Technical Knowledge and Experience:

Bachelor's Degree required, preferably in Actuarial Science/Mathematics/Finance/Healthcare Management or a related field or an equivalent combination of education and experience.

At least 2 years of previous experience in actuarial analysis desired.

Excellent quantitative, problem solving and analytical skills.

Strong communication skills.

Technical skills with database concepts, data analysis development, data warehousing and decision support tools.

Knowledge of MS-Office products, particularly MS-Access and Excel are required. Familiarity with SAS desired.

ConnectiCare is an equal opportunity employer. M/F/D/V

Company info

ConnectiCare
Website : http://www.connecticare.com

Company Profile
ConnectiCare is a leading health plan in the state of Connecticut. ConnectiCare’s mission is to make it easy for members to get the care they need. A local company for over 35 years, ConnectiCare has a full range of products and services for businesses, municipalities, individuals and those who are Medicare-eligible. A subsidiary of EmblemHealth, ConnectiCare leads the individual and small group markets in the state, and is ranked among the top commercial health plans in the nation, according to the National Committee for Quality Assurance.

Similar Jobs:
P&C Actuary Consultant
location Hartford, CT
12,783 Deloitte P&C Actuary Consultant in Hartford Connecticut Deloitte is one of the leading professional services organizations in the United States, specializing in audit, tax, consulting and financial advisory services with cl...
P&C Actuary Senior Consultant
location Hartford, CT
12,783 Deloitte P&C Actuary Senior Consultant in Hartford Connecticut Deloitte is one of the leading professional services organizations in the United States, specializing in audit, tax, consulting and financial advisory services ...
Actuarial Consultant (Cred)
location Hartford, CT
POSITION SUMMARY Aetna is hiring an Actuarial Consultant to support our Medicare business. This opportunity will perform pricing and analytic work in support of a department mission to protect Aetna's financial integrity, collab...
I found a new job! Thanks for your help.
Thomas B - ,
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
ActuarialCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
ActuarialCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2018 ActuarialCrossing - All rights reserved. 169