Government Programs Actuarial Analyst II

Essential Functions: Lead monthly reserving process (IBNR and other actuarial accruals) and communication of financial results and variances to the budget to senior leadership. Support quarterly forecasting of Medicare and D-SNP for Premium Deficiency Reserve calculation, Budget, and Forecast, including analysis of trends, assumptions, and key drivers Contribute to the development and successful completion of Medicare and D-SNP Bid, including data preparation, pricing support, and documentation Support regulatory and financial reporting requirements, including annual external audits, DOI audits, and various recurring Medicare and D-SNP filings Develop and enhance actuarial analyses and reporting, including pricing studies, dashboards, and presentations that provide insights into financial performance, risk factors, and profitability. Monitor and evaluate emerging risks to financial performance, including claims trends and changes in regulations. Collaborate with leadership and cross-functional teams to apply actuarial concepts, deliver high-quality work, and ensure accountability to deadlines and commitments. Perform other duties as assigned with or without accommodation.

Qualifications: Bachelor’s degree in Mathematics, Statistics or another quantitative discipline (Physics, Engineering, Quantitative Finance, Mathematical Economics, etc.) required Minimum of 2+ years of full-time actuarial experience in a healthcare or insurance setting At least 1–2 years of healthcare actuarial experience required, ideally supporting Medicare Advantage, DSNP, or government programs Knowledge, Skills, and Abilities Proficiency in Microsoft Office, VBA, SQL, and SAS. Strong written and oral communication skills, with the ability to convey actuarial concepts to non-technical stakeholders Demonstrated knowledge of actuarial concepts, techniques, and methodologies Strong understanding of insurance principles, products, and pricing concepts Strong analytical and problem-solving skills, with the ability to interpret complex data and perform quantitative analyses Excellent mathematical and statistical skills, with a keen attention to detail Strong organizational and time management skills, with the ability to manage multiple projects and meet deadlines Additional Job Details (if applicable) Working Conditions: This is a remote role that can be done from most US states This is a full-time, Monday through Friday role with 5 eight-hour days Remote workdays require a stable, secure, quiet, and HIPAA-compliant workspace. This will be confirmed via Microsoft Teams video for all employees Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $63,648.00 - $92,570.40/Annual Grade 6 In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth.

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