Senior Actuary @Cano Health LLC

[Hiring] Senior Actuary @Cano Health LLC

Mar 22, 2025 - Cano Health LLC is hiring a remote Senior Actuary. 💸 Salary: unspecified. 📍Location: USA.

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Role Description

As a Senior Actuary within the Finance Department, you will assist with complex actuarial and medical economics projects including:

Trend calculations
Reserving estimates
Risk score calculations
Risk assessments
Savings analyses

You will build risk adjustment and medical economic models used to forecast revenue, cost and utilization trends that will be used in the company’s short and long-range planning. You will work collaboratively with clinical and operations leaders to drive performance.

Essential Duties & Responsibilities:

Perform and support trend analysis of medical and pharmacy claims data for the Medicare and Medicaid lines of business
Collaborate with Operation teams on quantification and tracking of trend initiatives that will impact financial results
Calculate RAF score projections utilizing benchmarks and historical operational improvement experience at region and/or markets for use in finance reporting and forecasting
Collaborate with Operations and Coding teams on documentation initiatives that may impact RAF score projection
Conduct complex actuarial analyses to assess risk scores
Identify and implement appropriate analytic and forecasting methodologies
Build financial/actuarial models to support budget and forecasting
Compile, organize, categorize, and analyze large data sets using SQL
Assist in leading complex analytic projects leveraging data from multiple sources
Assist with the design and development of dashboards and key performance indicator reports to meet business needs
Ad-hoc modeling and projects

Qualifications

Bachelor's degree, preferably within Actuarial Science, Finance/Accounting, Mathematics, Statistics or a related field from an accredited college or university
3-5 years of actuarial and/or statistics experience
Experience in the health insurance industry (Medicare)
Associate, Society of Actuaries (ASA) preferred

Requirements

Understanding of CMS guidelines and specifications as it relates to Medicare Advantage and Risk Adjustment models
Experience measuring impact and ROI of operational programs and services related to medical and pharmacy cost reduction initiatives
Familiarity with medical economics and actuarial forecasting
Experience in predictive modeling, data manipulation, reporting, and analysis
Experience synthesizing analysis into actionable and easy to digest insights
Demonstrated proficiency with SQL
Proficient with MS Excel, including creating Macros, Power Pivot Tables, SUMIFS, SUMPRODUCT, and VLOOKUPs, etc.

Physical Requirements

This position works under usual office conditions.
The employee is required to work at a personal computer as well as be on the phone for extended periods of time.
Must be able to stand, sit, walk and occasionally climb.
The incumbent must be able to work extended and flexible hours and weekends as needed.
Physical demands include ability to lift up to 50 lbs.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work Conditions

Must be able to perform essential functions such as typing, standing, sitting, stopping, and occasionally climbing.

Tools & Equipment Used

Computer and peripherals
Standard and customized software applications and tools
Usual office equipment

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📍	Be aware of the location restriction for this remote position: USA
‼	Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.

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Senior Actuary @Cano Health LLC

Finance / Legal

Salary 💸 unspecified	Remote Location USA
Job Type full-time	Posted Mar 22, 2025

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📍	Be aware of the location restriction for this remote position: USA
‼	Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.

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[Hiring] Senior Actuary @Cano Health LLC

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