Job Description

ACTUARY

  • 503435
  • PHOENIX
  • AHCCCS
  • Full-time

AHCCCS

The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs, and a recipient of multiple awards for excellence in workplace effectiveness and flexibility. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry. AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona.

Actuary

Posting Details:

Salary: $85,000-$100,000

Grade: 29

Job Summary:

The Division of Health Care Management (DHCM) is looking for a highly motivated individual to join our team as an Actuary. The purpose of this Position is to provide additional actuarial expertise and services to AHCCCS by developing actuarially sound capitation rate ranges, determining reasonable adjustments to capitation rates based on trends, changes in AHCCCS policies, rules, state statue, federal rules, federal laws. These services involve review and pricing for multiple AHCCCS programs such as AHCCCS complete care (ACC), ALTCS EPD Program, including integrated sub0contractor rates, BH Program, CMDP Program.

Job Duties:

* Developing, implementing, and updating diagnosis- based risk adjustment model for AHCCCS programs.

* Learning to develop actuarially sound capitation rates for the AHCCCS program, including trend analysis, viability and use of encounters and analysis on other impacts to the program that would impact capitation rates.

* Oversee professional staff responsible for providing actuarial analysis and support.

* Developing models to help with actuarial analysis. Calculating costs for potential program changes, budget requirement and ad hoc analysis.

Knowledge, Skills & Abilities (KSAs):

* Comprehensive knowledge of advanced statistical principals and techniques

* Knowledge of federal Regulations relating to Medicaid and Medicare

* Comprehensive knowledge of higher mathematics related to actuarial work

* Excellent writing and verbal communication skills

* Effective listening and questioning skills

* Establish and maintain effective working relationships

* Multi-task in a fast-paced environment where re-prioritization occurs frequently

Selective Preference(s):

* Three years’ experience with health care actuarial services, Medicaid preferred

* Experience with the Arizona Marketplace desirable

* A combination of both commercial and managed care experience

* Minimum designation Associates of the Society of Actuaries (ASA) and Member of the American Academy of Actuaries (MAAA) or demonstrated progress toward achieving designation

Pre-Employment Requirements:

Benefits:

At AHCCCS, we promote the importance of work/life balance by offering workplace flexibility and a variety of learning and career development opportunities. Among the many benefits of a career with the State of Arizona, there are 10 paid holidays per year, accrual of sick and annual leave, affordable medical benefits and participation in the Arizona State Retirement Plan.

For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Retirement:

Contact Us:

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting careers@azahcccs.gov.
Requests should be made as early as possible to allow time to arrange the accommodation. Arizona State Government is an AA/EOE/ADA Reasonable Accommodation Employer.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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