The Division of Health Care Management (DHCM) 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.
• 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
• Excellent writing and verbal communication skills
• Effective listening and questioning skills
• 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
• Two years experience with healthcare actuarial services.
• 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.
• 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.
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
• Opportunity to work 100% virtually or remotely on an ad-hoc basis (home office)
By providing the option of a full-time or part-time virtual/remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.
For a complete list of benefits provided by The State of Arizona, please visit our benefits page
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.
Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing email@example.com.
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.
ARIZONA MANAGEMENT SYSTEM (AMS)
All Arizona state employees operate within the Arizona Management System (AMS), an intentional, results-driven approach for doing the work of state government whereby every employee reflects on performance, reduces waste, and commits to continuous improvement with sustainable progress. Through AMS, every state employee seeks to understand customer needs, identify problems, improve processes, and measure results.
State employees are highly engaged, collaborative and embrace a culture of public service.
The State of Arizona is an Equal Employment Opportunity Employer.