Associate Actuary (Medicare Pharmacy Trend Analytics) - CarelonRx
GA-ATLANTA, 740 W PEACHTREE ST NW, United States
USD 126K-190K Mid-level Full Time
Tasks
- Assist risk management using product and segment behavior
- Conduct benefit phase analyses
- Create or review alternative settlement formulae
- Deliver pharmacy spend and trend reporting
- Design experience rating formulae
- Develop risk sharing models
- Evaluate impact of legislation on benefits
- Perform cohort studies
- Prepare Medicare Part D and Part B drug spend and trend analyses
- Recommend pricing marketing product design claims premium and enrollment administration
- Run ad hoc analyses of pharmacy financial performance
- Support new product pricing
- Support valuation by interpreting financial results and forecast variances
Perks/Benefits
- 401k match
- Comprehensive medical, dental and vision benefits
- Equity/Stock Purchase Plan
- Financial education resources
- Incentive and recognition programs
- Life insurance
- Long-term disability
- Paid time off
- Short-term disability
- Wellness programs
- Wellness resources
Skills/Tech-stack
Actuarial analysis | Benefit phase analysis | Claims analytics | Cohort Analysis | Data Visualization | Databricks | Experience rating | Forecasting | Healthcare Claims | Healthcare claims analytics | Impact analysis | Legislation impact analysis | Medicare Part B | Medicare Part D | Part B | Part D | Pharmacy trend analysis | Phase analysis | Power BI | Pricing Strategy | Python | Risk sharing | SQL | Settlement formulae | Snowflake | Trend analysis
Education
Roles
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