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.

MINIMUM QUALIFICATIONS:

Education/Specialized Training/Licensure:

• 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)

SPECIAL REQUIREMENTS:

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.