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Consulting Actuary – ACA Risk Adjustment
Location
Kentucky + 4 moreAll locations: Kentucky, Louisiana, North Carolina, Mississippi, South Carolina
Posted
39 days ago
Salary
$143.6K - $229.8K / year
Job Description
Job Requirements
- Bachelor's degree or advanced degree (where required)
- Member of the American Academy of Actuaries
- Fellow of the Society of Actuaries
- 7 years of relevant actuarial experience, related experience may be considered.
- In lieu of an FSA, will consider candidates who are an Associate of the Society of Actuaries (ASA) and have at least 9 years of relevant actuarial experience.
- Deep experience with ACA Risk Adjustment, including HHS-HCC model methodology, risk score forecasting, and financial impact analysis - Highly Preferred
- Proven expertise in ACA Risk Adjustment transfer forecasting and explanation of results to senior leadership - Highly Preferred
- Strong understanding of diagnosis coding (ICD-10-CM), provider documentation practices, and their impact on risk adjustment outcomes.
- Advanced analytical skills to identify risk adjustment leakage, emerging risks, and optimization opportunities across ACA populations.
Benefits
- Medical, dental, and vision coverage along with numerous health and wellness programs.
- Parental leave and support plus adoption and surrogacy assistance.
- Career development programs and tuition reimbursement for continued education.
- 401k match including an annual company contribution
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