Actuarial Analyst II - Remote (Select States)

As an Actuarial Analyst II at Sentara Health, your key responsibilities will include creating predictive models for disease identification, generating forecasts for risk-adjusted revenues, and maintaining crucial data structures. Moreover, you will assist in calculating incurred but not reported (IBNR) claims, provide actuarial input at the corporate management level, and help strategize risk-adjustment operations. Working alongside other team members means you’ll also engage in advising on financial impacts and developing new processes to enhance departmental objectives.

To qualify for the Actuarial Analyst II position at Sentara Health, candidates must possess a bachelor's degree and have a minimum of two years of experience in actuarial analysis. Additionally, you should have passed at least three Actuarial exams and be committed to advancing towards your Society of Actuaries credential. Familiarity with various pricing and filing support, IBNR, and Medicaid programs will also be beneficial.

Actuarial exams are crucial for the Actuarial Analyst II role at Sentara Health. Candidates are required to have completed at least three exams and should demonstrate ongoing progress toward achieving their Society of Actuaries credential. These exams ensure that analysts possess the necessary mathematical and analytical skills to tackle complex actuarial tasks effectively.

Absolutely! Sentara Health is committed to the professional growth of its employees, including those in the Actuarial Analyst II position. After at least two years of satisfactory performance, you'll have the opportunity to rotate to other areas within the Actuarial department, allowing for skill enhancement and broader experience. Furthermore, we provide access to various training and development programs designed to assist in your career advancement.

At Sentara Health, the work environment for an Actuarial Analyst II is both vibrant and collaborative. You'll work remotely with a group of dedicated actuaries, analysts, and medical professionals. The culture emphasizes teamwork and support, enabling you to thrive even while facing tight deadlines. Our commitment to making communities healthier ensures that you’re not just part of a company but a mission-driven team.

In answering this question, highlight specific projects where you created predictive models in healthcare settings. Discuss the methodologies you used, the outcomes you achieved, and how these models impacted decision-making in your previous roles. Be sure to mention any software or tools involved.

Reference your analytical skills and any frameworks you’ve utilized or developed to assess risk adjustment operations. Discuss specific metrics or tools such as HCC models that you have experience with and how you've used them to measure the financial impact.

Share your strategies for prioritizing tasks, such as creating to-do lists, utilizing project management tools or software, and staying organized. Provide an example where you successfully managed competing deadlines and ensured the quality of your work.

Discuss your specific experiences with IBNR calculations, detailing the methodologies and statistical techniques you used. Provide an example of a challenging IBNR scenario and how you resolved it, emphasizing the importance of accuracy in these calculations.

Show your understanding of the healthcare landscape by discussing potential challenges such as regulatory changes, data quality issues, and the complexities of predicting future risks. Show your proactive mindset by suggesting possible solutions to these challenges.

Provide an example of a collaborative project where you worked with a diverse team, detailing your specific role. Emphasize the importance of communication, flexibility, and leveraging the strengths of team members to achieve a common goal.

Highlight your commitment to continuous learning by discussing resources or associations you are involved with. Mention any relevant publications, courses, or seminars that help you remain informed about trends and innovations in the actuarial and healthcare fields.

List the specific software and tools you’re proficient in, such as Excel, R, SAS, or specialized actuarial software. Provide examples of how you've used these tools to analyze data and generate reports or forecasts effectively.

Discuss a methodical approach to process improvement by analyzing existing workflows, identifying bottlenecks, and gathering team feedback. Provide an example from your experience where you successfully implemented a new process, detailing the positive effects it had on team productivity or accuracy.

Describe your thorough approach to ensuring accuracy, such as conducting peer reviews, validating data sources, and utilizing checks and balances. Provide an example of a time when your attention to detail prevented a potential error.