Manager performing actuarial and statistical analyses for Independent Health Association. Collaborating with management to develop process improvements and support business needs.
About the role
- Actuary performing actuarial analysis to ensure financial sustainability of contracts in healthcare management. Working with risk pricing and regulatory compliance in a hybrid role.
Responsibilities
- Analyze the claims experience of the administered portfolio, identifying trends, distortions and utilization risk factors.
- Perform technical calculations for rate adjustments, taking into account portfolio history, risk profile and negotiations with operators.
- Prepare actuarial studies of utilization behavior, VCMH (average medical‑hospital cost), and claim frequency and severity.
- Provide technical support for negotiations of rate adjustments with operators, supplying analytical inputs and actuarial opinions.
- Assess the financial impacts of portfolio movements.
- Produce technical and executive reports to support Executive Management, Product, Sales and Market Intelligence teams.
- Work collaboratively with Product, Data, Sales, Operations and Finance areas.
- Contribute to the development of analytical models and the automation of actuarial analyses.
Requirements
- Degree in Actuarial Science.
- Experience in the Healthcare segment required, preferably at a benefits administrator or health plan operator.
- Strong expertise in claims analysis and in calculating collective rate adjustments for group/adhesion contracts.
- Advanced Excel skills.
- Knowledge of SQL, Python and BI tools.
Benefits
- Meal and/or grocery allowance to meet your needs;
- Health insurance with co-payment;
- Dental insurance with two plan options to choose from;
- Life insurance;
- Transportation voucher;
- Birthday credit loaded to your Caju card to use as you wish;
- Capacita – exclusive training platform for our employees;
- Profit sharing (PLR);
- Breakfast at the office with fruit and snack options;
- Quality of life and well‑being program (psychological, financial, social and legal support for you and your dependents);
- Hybrid work model (3 days on-site and 2 days remote);
- Free telemedicine for you and your dependents;
- Travel Club – to help plan your vacation trips;
- TotalPass – nationwide gym partnership for health and well‑being with attractive rates;
- Perks club – discounts with various exclusive partners;
- Welcome kit for your baby;
- Extended paternity leave;
- Pharmacy benefit with fast delivery and payroll discount.
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Tech skills
Location requirements
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