Actuarial Fellow jobs in Gainesville, FL

AvMed, a division of Sentara Health Plans in the Florida market, is hiring an Actuarial Analyst in Miami and/or Gainesville, Florida. This is a hybrid position, 2 days in office and 3 days remote if within local market or 100% remote if outside of local territory.

Scope of position: The Actuarial Analyst is responsible for performing actuarial analysis in the development of liabilities and/or in support of pricing activities.

Essential Job Functions:

• Assists in the assessment of feasibility, anti-selection risk, marketability, alternative product options, existing product options, improvements, market needs, configuration issues, and portfolio placement of new products.
• Develops and analyzes financial projections.
• Assists in the development of risk adjustment projections for both the Commercial and Medicare product line.
• Provides assistance to underwriters and marketing in valuing groups’ benefit changes.
• Assists with the production and review of regulatory filings and related analyses.
• Assists and participates in negotiations and sales presentations with customers where appropriate.
• Researches, evaluates and analyzes medical care costs trends by region, market segment and product line and conduct variance analysis with respect to utilization and unit costs.
• Provides support in the development of operational systems and reporting tools for use by the Commercial Group Underwriting Unit to include automated excel-based rating programs and other actuarial tools used within the department.
• Assists in the development of underwriting guidelines and policies conducive to profitability and the avoidance of adverse selection.
• Assists the unit Manager with the coordination of all regulatory audit activities for the Underwriting and Financial Department, including DFS Market Conduct Exams, Medicare ACR audit and OPM audit.
• Performs additional duties and responsibilities as assigned by management
• Assists in the assessment of feasibility, anti-selection risk, marketability, alternative product options, existing product options, improvements, market needs, configuration issues, and portfolio placement of new products.
• Develops and analyzes financial projections.

Minimum Requirements:

• Bachelor's in mathematics, Economics, Actuarial Services, or related field
• Master’s preferred
• 1-2 years of years of working with risk models, mathematical or actuarial analysis, preferably in a health insurance field
• Successful completion of at least one Society of Actuaries examination required two or more exams completed preferred
• An equivalent combination of education and experience may be considered.

Preferred Requirements:

• Automated or Statistical Analysis Tools
• Analytical and Problem Solving
• Excellent verbal and written communication skills
• Strong analytical skills and financial analysis experience including experience with Excel, Word, and PowerPoint
• Demonstrates strong negotiating and influencing skills that are organized and constructed for successful outcomes, is well planned and prepared for, and is centered around “win-win” solutions

This position is 100% Remote but candidates must have a current residence in one of the follow states or being willing to relocate – Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, Wyoming.

Our Benefits:

As the third-largest employer in Virginia, Sentara Health was named by Forbes Magazine as one of America's best large employers.  We offer a variety of amenities to our employees, including, but not limited to:

• Medical, Dental, and Vision Insurance
• Paid Annual Leave, Sick Leave
• Flexible Spending Accounts
•  Retirement funds with matching contribution
• Supplemental insurance policies, including legal, Life Insurance and AD&D among others
• Work Perks program including discounted movie and theme park tickets among other great deals
•  Opportunities for further advancement within our organization

Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace.  For information about our employee benefits, please visit: Benefits – Sentara (sentaracareers.com)

Join our team! We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth!

Note: Sentara Healthcare offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability, and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.

Keywords: Talroo-Health Plan, #INDEED, SQL

• Bachelor's Level Degree