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This role is hybrid and requires 3 days/week in the office in Newtown Square, PA.

Responsibilities

+ Calculates, monitors and assesses impact of benefit and provider reimbursement changes, cost containment programs, on medical cost and trends. ;

+ Develops and maintains spreadsheets and databases for purposes of trend and data analytics

+ Performs monthly data analysis projects to assist senior analysts

+ Develops forecasting models for re-forecasts and expected budgets

+ Assists in developing cost projections for contact period negotiations.

+ Performs monthly review of outstanding claim liabilities to assist in determining appropriate medical expenses and book reserves.;

+ Populates quarterly reporting templates for LOBs.

+ Prepares internal and external communications, including that with regulatory authorities and internal management.

+ Uses best practice models and other industry recognized pricing tools.

Education and Experience

+ Bachelor’s Degree in Actuarial Science or related field required.

+ 0 to 3 actuarial exams.

+ Internship experience a plus. ; ; ; ; ; ; ; ;

+ Strong knowledge of Excel, Access, SAS, spreadsheet, and database applications used for analysis.;

+ Strong project management skills.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k), Tuition reimbursement, and more.

Your career starts now. We are looking for the next generation of health care leaders.

At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to hear you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

As a company, we support internal diversity through:

Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.