Job Description

Actuary

  • 514092
  • PHOENIX
  • REMOTE OPTIONS
  • VARIOUS-STATEWIDE
  • AHCCCS
  • Full-time

AHCCCS

Arizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork

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.

AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. 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.

Come join our dynamic and dedicated team.

Actuary

Division of Business and Finance

Posting Details:

Open Until Filled

Salary: $100,000 - $140,000

Grade: 29

This is a virtual office position not restricted to Arizona, AHCCCS will accept out-of-state candidates.

Hiring Incentive:

A one-time sign on incentive of $5,000 will be paid in one lump sum payment within 30 days from the hire date. The onetime sign on incentive is taxable, and all regular payroll taxes will be withheld. Should the selected candidate voluntarily terminate employment within the first 12 months from the hire date, the State of Arizona will withhold a prorated amount of the incentive from the selected candidates final pay.

Job Summary:

The Division of Business and Finance (DBF) is looking for a highly motivated individual to join our team as an Actuary. This position is to provide 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 statutes, federal rules, and federal laws. These services involve review and pricing for multiple AHCCCS programs. This position will develop and update models to help with actuarial analysis including, but not limited to, completion factor, encounter, trend and program change look back. In addition to developing a risk adjustment model for in-house use. Assist in Requests for Proposals (RFP) and related negotiations. This position will also help provide technical support for RFP development for all competitively-bid AHCCCS programs.

Major duties and responsibilities include but are not limited to:

* Developing actuarially sound rates for AHCCCS programs, preparing actuarial certifications for submission to the Centers for Medicare and Medicaid Services (CMS), and certifying that capitation rates are actuarially sound.

* Developing models to help with actuarial analysis.

* Calculating costs for potential program changes and performing ad hoc analysis.

Knowledge, Skills & Abilities (KSAs):

Knowledge:

* Extensive knowledge of commercial health insurance analysis
* Comprehensive knowledge of higher mathematics related to actuarial work
* Comprehensive knowledge of advanced statistical principles and techniques
* Comprehensive knowledge of rate setting procedures
* Excellent knowledge of computer techniques used in research and analysis
* Federal Regulations relating to Medicaid and Medicare
* AHCCCS Programs, Rules and Regulations
* Agency Policies and Procedures
* Principles and practices of project management

Skills:
* Excellent writing and verbal communication skills
* Effective listening and questioning skills

Ability:
* Strong analytical ability
* Plan and conduct complex actuarial studies
* Prepare accurate and comprehensive reports
* Analyze complex data and draw valid conclusions
* Evaluate situations and adopt an effective course of action
* Establish and maintain effective working relationships
* Interpret federal and state law and agency rules, regulations, policies and procedures
* Ability to multi-task in a fast paced environment where re-prioritization occurs frequently

Qualifications:

Minimum:
* Two years experience with healthcare actuarial services.

Preferred:
* Bachelor's degree in a related field.
* Member of American Academy of Actuaries (MAAA) and either Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA).
* Experience with the Arizona marketplace and/or heavily managed care markets.

Pre-Employment Requirements:

* Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify), applicable to all newly hired State employees.

* Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions.

* Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R2-10-207.12.) AND have an acceptable driving record for the last 39 months including no DUI, suspension or revocations and less than 8 points on your license. If an Out of State Driver License was held within the last 39 months, a copy of your MVR (Motor Vehicle Record) is required prior to driving for State Business. Employees may be required to use their own transportation as well as maintaining valid motor vehicle insurance and current Arizona vehicle registration; however, mileage will be reimbursed.

Benefits:

Among the many benefits of a career with the State of Arizona, there are:
* 10 paid holidays per year
* Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
* A top-ranked retirement program with lifetime pension benefits
* A robust and affordable insurance plan, including medical, dental, life, and disability insurance
* Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
* RideShare and Public Transit Subsidy
* A variety of learning and career development opportunities

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

Retirement:

Lifetime Pension Benefit Program
* Administered through the Arizona State Retirement System (ASRS)
* Defined benefit plan that provides for life-long income upon retirement.
* Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
* Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).

Deferred Retirement Compensation Program
* Voluntary participation.
* Program administered through Nationwide.
* Tax-deferred retirement investments through payroll deductions.

Contact Us:

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing 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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