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Award-winning: Sentara is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering more than 500 sites of care including 12 hospitals, PACE (Elder Care), home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!
Sentara Health is currently seeking a full-time remote Senior Actuarial Analyst.
Position Status: Full-time, Day Shift
Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington (state), West Virginia, Wisconsin, Wyoming
Standard Working Hours: 8:00AM to 5:00PM
Overview
The Senior Actuarial Analyst will play a crucial role in supporting the actuarial team by conducting advanced data analysis and providing insights for strategic decision-making in a healthcare organization. This role requires expertise in actuarial modeling, risk assessment, and financial forecasting related to healthcare products, services, and operations. The Senior Actuarial Analyst will collaborate with cross-functional teams, including finance, underwriting, and clinical departments, to ensure accurate pricing, risk management, and performance monitoring. Additionally, the individual will assist in regulatory compliance, reporting, and enhancing predictive models to improve healthcare outcomes and cost-efficiency.
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Develop and maintain actuarial models for pricing and financial forecasting of healthcare products and services.
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Perform risk assessments and financial projections to evaluate the financial health of healthcare plans.
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Provide in-depth analysis of claims data, utilization patterns, and healthcare costs to support decision-making.
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Assist in the development of pricing strategies for insurance products, ensuring alignment with company goals and regulatory requirements.
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Collaborate with the underwriting team to assess risks and recommend adjustments in pricing models.
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Monitor and report on the performance of health plans, identifying areas for cost reduction and efficiency improvement.
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Prepare actuarial reports, presentations, and documentation for internal stakeholders and regulatory bodies.
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Support the implementation of new healthcare initiatives, ensuring actuarial insights are integrated into the planning process.
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Mentor junior actuarial staff, providing guidance and training on best practices and methodologies.
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Stay up to date with industry trends, regulatory changes, and new actuarial methodologies.
Education
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Bachelor's level degree
Certification/Licensure
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No specific certification or licensure requirements
Experience
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3 years of related experience required
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $69,742.40 – $116,254.20. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities
Culture In Action
At Sentara, our differences are our strengths. The unique backgrounds, skills, and experiences that each Sentara colleague brings to work are what make Sentara special and what allows us to deliver excellent service and care to our patients, members, and communities.
Sentara prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
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