Actuarial Manager Analyst, Amazon One Medical Actuary
Actuarial Manager Analyst, Amazon One Medical Actuary
Posted on :
23-05-2025
Employer Active
1 Vacancy
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Yearly Salary
$ 125500 - 212800
Vacancy
1 Vacancy
Posted on :
23-05-2025
Job Description
Amazon One Medical is hiring a Actuarial Manager Analyst. Actuarial rigor is one of the keys to our success. This candidate will responsible primarily for several critical workstreams which include analysis of Medicare Advantage and Accountable Care Organization data design and implement an actuarially sound monthly reserving process for Total Medical Expense (TME) estimation and lead continuous evaluation of TME performance compared to plan expectations.
Key job responsibilities
Analysis of Medicare Advantage and Accountable Care Organization data primarily
Medical economics reporting and adhoc analysis relating to cost of care management
Medicare Risk score projections and premium estimation
Design and implement an actuarially sound monthly reserving process for Total Medical Expense (TME) estimation
Lead continuous evaluation of TME performance compared to plan expectations
Coordinate with the finance team on future TME projections that are refreshed monthly and provided quarterly for forecasting and planning
Support month end financial and accounting processes for relevant actuarial estimates.
Value based care contracting support and ongoing financial and risk analysis.
Support ongoing actuarial support for outside auditor review of financial estimates and results.
Design studies to monitor the suitability of the completion factor estimates.
Lead continuous evaluation of risk based funding and scoring performance compared to plan expectations.
Complete the evaluation of stoploss coverage and manage third party vendors
Analyze and develop new to market assessments and modeling which includes future Medicare geographic expansion and enhancements / changes to other market segments (Commercial potentially)
Minimum of 6 years of relevant work experience
Associate of the Society of Actuaries (ASA) is required
Experience with Medicare or Medicare Advantage products
Strong knowledge of actuarial reserving forecasting and medical economics
Expertise in working with medical claims data and using programming languages such as SQL R SAS Python Snowflake Tableau/Looker
Ability to work cross functionally and communicate effectively with stakeholders (Operations Finance Planning & Accounting (FP&A) Clinical etc.)
Bachelors degree is required
Fellow of the Society of Actuaries (FSA)
Bachelors degree in Finance Actuarial Science Mathematics Economics or Business
Experience working with riskbearing provider groups
Experience in valuebased care including CMS initiatives such as the Medicare Shared Savings Program (MSSP) and ACO REACH
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status disability or other legally protected status.
Los Angeles County applicants: Job duties for this position include: work safely and cooperatively with other employees supervisors and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employees supervisors and staff to ensure exceptional customer service; and follow all federal state and local laws and Company policies. Criminal history may have a direct adverse and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above as well as the abilities to adhere to company policies exercise sound judgment effectively manage stress and work safely and respectfully with others exhibit trustworthiness and professionalism and safeguard business operations and the Companys reputation. Pursuant to the Los Angeles County Fair Chance Ordinance we will consider for employment qualified applicants with arrest and conviction records.
Pursuant to the San Francisco Fair Chance Ordinance we will consider for employment qualified applicants with arrest and conviction records.
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process including support for the interview or onboarding process please visit for more information. If the country/region youre applying in isnt listed please contact your Recruiting Partner.
Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $125500/year in our lowest geographic market up to $212800/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on jobrelated knowledge skills and experience. Amazon is a total compensation company. Dependent on the position offered equity signon payments and other forms of compensation may be provided as part of a total compensation package in addition to a full range of medical financial and/or other benefits. For more information please visit This position will remain posted until filled. Applicants should apply via our internal or external career site.
Key job responsibilities
Analysis of Medicare Advantage and Accountable Care Organization data primarily
Medical economics reporting and adhoc analysis relating to cost of care management
Medicare Risk score projections and premium estimation
Design and implement an actuarially sound monthly reserving process for Total Medical Expense (TME) estimation
Lead continuous evaluation of TME performance compared to plan expectations
Coordinate with the finance team on future TME projections that are refreshed monthly and provided quarterly for forecasting and planning
Support month end financial and accounting processes for relevant actuarial estimates.
Value based care contracting support and ongoing financial and risk analysis.
Support ongoing actuarial support for outside auditor review of financial estimates and results.
Design studies to monitor the suitability of the completion factor estimates.
Lead continuous evaluation of risk based funding and scoring performance compared to plan expectations.
Complete the evaluation of stoploss coverage and manage third party vendors
Analyze and develop new to market assessments and modeling which includes future Medicare geographic expansion and enhancements / changes to other market segments (Commercial potentially)
Minimum of 6 years of relevant work experience
Associate of the Society of Actuaries (ASA) is required
Experience with Medicare or Medicare Advantage products
Strong knowledge of actuarial reserving forecasting and medical economics
Expertise in working with medical claims data and using programming languages such as SQL R SAS Python Snowflake Tableau/Looker
Ability to work cross functionally and communicate effectively with stakeholders (Operations Finance Planning & Accounting (FP&A) Clinical etc.)
Bachelors degree is required
Fellow of the Society of Actuaries (FSA)
Bachelors degree in Finance Actuarial Science Mathematics Economics or Business
Experience working with riskbearing provider groups
Experience in valuebased care including CMS initiatives such as the Medicare Shared Savings Program (MSSP) and ACO REACH
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status disability or other legally protected status.
Los Angeles County applicants: Job duties for this position include: work safely and cooperatively with other employees supervisors and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employees supervisors and staff to ensure exceptional customer service; and follow all federal state and local laws and Company policies. Criminal history may have a direct adverse and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above as well as the abilities to adhere to company policies exercise sound judgment effectively manage stress and work safely and respectfully with others exhibit trustworthiness and professionalism and safeguard business operations and the Companys reputation. Pursuant to the Los Angeles County Fair Chance Ordinance we will consider for employment qualified applicants with arrest and conviction records.
Pursuant to the San Francisco Fair Chance Ordinance we will consider for employment qualified applicants with arrest and conviction records.
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process including support for the interview or onboarding process please visit for more information. If the country/region youre applying in isnt listed please contact your Recruiting Partner.
Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $125500/year in our lowest geographic market up to $212800/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on jobrelated knowledge skills and experience. Amazon is a total compensation company. Dependent on the position offered equity signon payments and other forms of compensation may be provided as part of a total compensation package in addition to a full range of medical financial and/or other benefits. For more information please visit This position will remain posted until filled. Applicants should apply via our internal or external career site.
Required Experience:
Manager
Employment Type
Full-Time
Key Skills
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