Actuarial Lead Analyst - Medicare Part C / Risk Adjustment - Work from Home

Actuarial Lead Analyst - Medicare Part C / Risk Adjustment - Work from Home

Actuarial Lead Analyst - Medicare Part C / Risk Adjustment - Work from Home

Job Overview

Location
Nashville, North Carolina
Job Type
Full Time Job
Job ID
43764
Date Posted
4 months ago
Recruiter
Julia Hart
Job Views
243

Job Description

Remote, Work from home, United States

** The location preference for this role is Nashville, TN; however, we will consider qualified applicants in other locations (including Work from Home) based on their skill set and experience.

Description:

Performs actuarial analyses for Medicare Advantage business, including, but not limited to: Revenue & risk score analysis and projections, financial forecasts, Medicare Part C bid support, mid-year and final settlement revenue accruals, and maintaining the CMS Part C risk adjustment model.

Responsibilities:

  • Applies analytical methods through the use of mathematical and statistical models in bid modeling, financial analyses, revenue projections, etc.

  • Completes ad hoc assessments and projects for corporate-wide or market-specific initiatives.

  • Supports risk score trend analysis, risk score projection consistent with CMS guidelines, and keeps risk score model up to date with CMS changes.

  • Investigates complex analytical issues related to risk adjustment payment.

  • Communicates results of analyses to more senior actuarial team members.

  • Actively participates in team and other internal meetings and may present on specific topics.

  • Manage tight deadlines for multiple competing priorities, scope, and converging opinions to solution in a timely manner.

  • Strong interest in pursuing actuarial exams.

Qualifications:

  • BS in Economics, Mathematics, Actuarial Science, or other related field

  • Minimum 3-4 years of actuarial/ data analytics experience

  • Must be detail-oriented and able to work independently with minimal supervision

  • Strong technical skills in SAS and SQL

  • Strong mathematical, financial, statistical and technical skills.

  • Strong communication and presentation skills; written/verbal proficiency

  • Ability to identify problem areas and take initiative to implement solutions.

  • Healthcare/ Medicare experience preferred.

  • Data Analytics Experience preferred​

This role is Flex/WFH which allows most work to be performed at home or on occasion at a Cigna office location. Employees must be fully vaccinated if they choose to come onsite.

This position is not eligible to be performed in Colorado.

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.


Job ID: 43764

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