Actuarial Analyst at Agilon Health

Company:

AHI agilon health, inc.

Job Posting Location:

Remote - USA

Job Title:

Actuarial Analyst

Job Description:

The Actuarial Analyst will work under the guidance of an Actuarial Regional Manager to maintain and enhance medical margin models for assigned markets. These models support monthly financial close processes, budget development, and quarterly forecasts.The analyst will play a key role in reviewing Medicare Advantage financial results, with a focus on understanding the drivers of value-based incentive performance and their impact on profitability. Responsibilities include identifying the sources of prior period development, analyzing emerging trends, preparing audit documentation, and supporting ad hoc requests from Market Finance and Business Development.

** This position is open to qualified candidates across the United States.

Essential Job Functions:

For assigned market:

Update medical margin models to support the monthly close process
Research and identify drivers of prior period development for revenue and claims
Enhance and maintain medical economics tools and dashboards to deliver insights into trend drivers and improve decision-making
Prepare materials to present close results to Market Finance leadership, ensuring clarity and strategic relevance
Calculate final cash settlements for payer contracts with precision and timeliness
Prepare and organize documentation for internal and external audits
Inform key assumptions for annual budget based on actuarial analysis and market trends
Perform targeted analyses to support requests from Market Finance team
Support Business Development and Payer Contracting teams by providing actuarial input on financial assumptions

Other Job Functions:

Exemplify companies’ core values in day-to-day work and team interactions
Collaborate effectively with Market Finance, FP&A, Accounting, and others
Engage in professional development through our Actuarial Mentorship Program and other learning opportunities
Balance company-provided SOA exam study hours with work responsibilities to support both career growth and team success

Required Qualifications:

Minimum Experience

1-4 years of relevant actuarial experience in insurance, consulting, or managed care
Experience with Medicare Advantage products preferred

Education/Licensure:

Bachelor’s degree in Actuarial Science, Math, Economics, or related field
2+ actuarial exams passed

Knowledge, Skills and Abilities:

Experience with actuarial techniques for analysis and modeling of healthcare financials
Skilled in interpreting and manipulating large datasets, especially medical claims
Familiar with basic principles of IBNR reserve development, forecasting, and pricing
Strong understanding of health insurance, particularly Medicare Advantage
Demonstrates ownership of deliverables and leadership in cross-functional initiatives
Thrives in fast-paced environments with a focus on business partner satisfaction
Entrepreneurial mindset with a willingness to improve processes without prompting
Excellent written and verbal communication skills
Proficient in Excel and SQL

Location:

Remote - FL

Pay Range:

$87,000.00 - $106,600.00

Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.

Life at Agilon Health

A TRANSFORMATIVE PARTNERSHIP agilon health partners with primary care physicians to define a new standard of quality, efficiency and patient experience. We bring the people, solutions, capital and technology necessary to ensure their long-term success and to bring back the joy of practicing medicine.

CRITICAL CARE We believe that every member of our team plays a critical role in transforming care for our patients. Our customer service teams are the front line for physicians and patients navigating the system and, without our claims processing departments, our health plan partners and provider networks couldn't do their jobs. No matter what your role is at agilon health, you can and will make a difference in the lives of the seniors and Medicaid populations we serve. Our culture and passion has already been embraced by nearly 500 employees in three states. And we are excited to welcome new members to the team as more physicians and patients experience the difference agilon health can make.

CONTACT HR If you have any questions about career opportunities at agilon health, please contact the human resources department at Talent.Acquisition@agilonhealth.com.

Thrive Here & What We Value

Collaborative work environment

Emphasis on partner-centric approach

Commitment to continuous improvement initiatives

Focus on enhancing the ability to manage quality, utilization, and cost-of-care

Developing innovative care models to create a world-class patient experience with high-quality care

Positive tone setting

Strategic and operational communication

Active network building

Confidentiality and sensitivity awareness

Emphasis on patient-centered care and collaboration across the continuum of care</s>