Senior Actuarial Analyst - Community Health Choice
Harris Health System
Location: Houston, Texas
Type: Full Time
Internal Number: 157742
JOB SUMMARY: This position monitors claims trends and investigates aberrations, tracks member risk scores to support risk adjustment analysis, and on-going analysis and monitoring of utilization targets. The Sr. Actuarial Analyst assists in actuarial filings such as the Statement of Actuarial Opinion and ACA Marketplace rate filings. The Sr. Actuarial Analyst helps to coordinate between external consultants and internal staff on annual Medicare Advantage rate filings and assess HHSC?s development of the annual Medicaid rates. The Sr. Actuarial Analyst supports the annual budget process and reviews work papers of other Finance staff as needed. The Sr. Actuarial Analyst will also provide ad hoc assistance to senior level management as needed.
Bachelor's degree in Actuarial Science, Mathematics, or related.
Three (3) or more Society of Actuaries Exams passed.
Work Experience (Years and Area):
Three (3) years' experience in health insurance industry with proficiency in Excel and some computer coding (SQL/SAS) experience. Prefer ability to provide guidance and support to entry level analyst roles.
Software Operated: Microsoft Office (MS Word, MS Excel, Outlook)
1. Communication Skills: Above Average Verbal (Heavy Public Contact) Writing /Composing: Correspondence / Reports
2. Other Skills: Analytical, Mathematics, Research, Statistical MS Word, MS Excel
3. Advanced Education:
Advanced Training Specialty: 3+ Society of Actuaries Exams Passed Bachelor's Degree Major: Actuarial Science, Mathematics, or related field
4. Work Schedule: Flexible
5. Other Requirements: Strong analytical skills, proficient with Excel, experience with SQL and SAS preferred. Experience with medical claims trends, reserving, forecasting, and pricing. Ability to communicate complex analytical results effectively.
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.