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Johns Hopkins University
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PIH Health
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Actuarial Senior Specialist
JOB SUMMARYThis position monitors claims trends and investigates aberrations, tracks member risk scores to support risk adjustment analysis, and on-going analysis and monitoring of utilization targets. The Actuarial Senior Specialist assists in actuarial filings such as the Statement of Actuarial Opinion and ACA Marketplace rate filings. The Actuarial Senior Specialist helps to coordinate between external consultants and internal staff on annual Medicare Advantage rate filings and assess HHSC's development of the annual Medicaid rates. The Actuarial Senior Specialist supports the annual budget process and reviews work papers of other Finance staff as needed. The Actuarial Senior Specialist will
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