Actuarial Analyst

About SCAN

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn; Facebook; and Twitter.

The Job

This position contributes to the success of the Actuarial team by preparing and analyzing data for Medicare bids, maintaining bid models, performing financial projections and contract modeling.

You Will

• Prepare and analyze base period data for the Medicare bids and reconcile it to financials Develop comparisons between actual versus forecast Identify data anomalies and analyze root cause Support ad-hoc analytics such as provider contracting, product development, and other customized projects to suit business needs Utilize the Data Warehouse efficiently to develop reports and extract data fields Maintain professional and technical knowledge by attending educational workshops; reviewing and contributing to professional publications; establishing personal networks; participating in professional societies
• Analyze historical data trends in order to establish reasonable assumptions Contribute to team effort by accomplishing related results as needed
• Assist the actuarial team with the development of Medicare Advantage bid pricings by keeping track of various input parameters, testing and reviewing pricing results
• Verify the details of benefits in the bid model vs the Plan Benefit Package filed to CMS to ensure accuracy
• Maintain models used for the development of Medi-Cal bids and pricing for employer group policy renewals
• Supply certain input data to the external consultants and review their deliverables
• Assist the financial forecasts of health care costs and the ongoing monitoring of actual results
• Assist with budget & forecast duties to include but not limited to base period data preparation, maintaining model assumptions and model updates
• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
• Actively support the achievement of SCAN's Vision and Goals.
• Other duties as assigned.

Your Qualifications

• Bachelor's degree in Actuarial Science, Mathematics, or Statistics or any other major with significant quantitative course work or equivalent experience.
• 3-5 years of actuarial experience with healthcare focus, or comparable actuarial consulting experiences.
• Certifications deemed to be reasonable to function at this level.
• Performs work under general supervision.
• Handles moderately complex issues and problems and refers more complex issues to higher-level staff.
• Possesses solid working knowledge of subject matter.
• May provide leadership, coaching, and/or mentoring to a subordinate group.

What's in it for you?

• Base Pay Range: $71,700 - $102,520 (Annually)
• Work Mode: Mostly Remote
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• 11 paid holidays per year, plus 1 additional floating holiday
• Excellent 401(k) Retirement Saving Plan with employer match
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

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