Amazon
Actuarial Manager Analyst, Amazon One Medical Actuary, Amazon One Medical Actuar
Amazon, San Francisco, California, United States, 94199
Overview
Amazon One Medical is hiring an Actuarial Manager Analyst. Actuarial rigor is one of the keys to our success. This role will be responsible primarily for several critical workstreams which include analysis of Medicare Advantage and Accountable Care Organization data, design and implement an actuarially sound monthly reserving process for Total Medical Expense (TME) estimation, and lead continuous evaluation of TME performance compared to plan expectations. Responsibilities
Analysis of Medicare Advantage and Accountable Care Organization data primarily Medical economics reporting and ad-hoc analysis relating to cost of care management Medicare risk score projections and premium estimation Design and implement an actuarially sound monthly reserving process for Total Medical Expense (TME) estimation Lead continuous evaluation of TME performance compared to plan expectations Coordinate with the finance team on future TME projections that are refreshed monthly and provided quarterly for forecasting and planning Support month end financial and accounting processes for relevant actuarial estimates Value based care contracting support and ongoing financial and risk analysis Support ongoing actuarial support for outside auditor review of financial estimates and results Design studies to monitor the suitability of the completion factor estimates Lead continuous evaluation of risk based funding and scoring performance compared to plan expectations Complete the evaluation of stop-loss coverage and manage third party vendors Analyze and develop new to market assessments and modeling which includes future Medicare geographic expansion and enhancements / changes to other market segments (Commercial potentially) Basic Qualifications
6+ years of data science experience Associate of the Society of Actuaries (ASA) is required Experience with Medicare or Medicare Advantage products Strong knowledge of actuarial reserving, forecasting and medical economics Expertise in working with medical claims data and using programming languages such as SQL, R, SAS, Python, Snowflake, Tableau/Looker Ability to work cross functionally and communicate effectively with stakeholders (Operations, Finance, Planning & Accounting (FP&A), Clinical, etc.) Bachelor's degree is required Preferred Qualifications
Fellow of the Society of Actuaries (FSA) Bachelor’s degree in Finance, Actuarial Science, Mathematics, Economics, or Business Experience working with risk-bearing provider groups Experience in value-based care, including CMS initiatives such as the Medicare Shared Savings Program (MSSP) and ACO REACH Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status. Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you’re applying in isn’t listed, please contact your Recruiting Partner.
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Amazon One Medical is hiring an Actuarial Manager Analyst. Actuarial rigor is one of the keys to our success. This role will be responsible primarily for several critical workstreams which include analysis of Medicare Advantage and Accountable Care Organization data, design and implement an actuarially sound monthly reserving process for Total Medical Expense (TME) estimation, and lead continuous evaluation of TME performance compared to plan expectations. Responsibilities
Analysis of Medicare Advantage and Accountable Care Organization data primarily Medical economics reporting and ad-hoc analysis relating to cost of care management Medicare risk score projections and premium estimation Design and implement an actuarially sound monthly reserving process for Total Medical Expense (TME) estimation Lead continuous evaluation of TME performance compared to plan expectations Coordinate with the finance team on future TME projections that are refreshed monthly and provided quarterly for forecasting and planning Support month end financial and accounting processes for relevant actuarial estimates Value based care contracting support and ongoing financial and risk analysis Support ongoing actuarial support for outside auditor review of financial estimates and results Design studies to monitor the suitability of the completion factor estimates Lead continuous evaluation of risk based funding and scoring performance compared to plan expectations Complete the evaluation of stop-loss coverage and manage third party vendors Analyze and develop new to market assessments and modeling which includes future Medicare geographic expansion and enhancements / changes to other market segments (Commercial potentially) Basic Qualifications
6+ years of data science experience Associate of the Society of Actuaries (ASA) is required Experience with Medicare or Medicare Advantage products Strong knowledge of actuarial reserving, forecasting and medical economics Expertise in working with medical claims data and using programming languages such as SQL, R, SAS, Python, Snowflake, Tableau/Looker Ability to work cross functionally and communicate effectively with stakeholders (Operations, Finance, Planning & Accounting (FP&A), Clinical, etc.) Bachelor's degree is required Preferred Qualifications
Fellow of the Society of Actuaries (FSA) Bachelor’s degree in Finance, Actuarial Science, Mathematics, Economics, or Business Experience working with risk-bearing provider groups Experience in value-based care, including CMS initiatives such as the Medicare Shared Savings Program (MSSP) and ACO REACH Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status. Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you’re applying in isn’t listed, please contact your Recruiting Partner.
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