AHCCCS

Address: 801 E. Jefferson Street, Phoenix, AZ 85034

Salary: $66,000 - $130,000 

Grade: 24 - 29

Closing Date: Open Until Filled

The Actuary will develop actuarially sound capitation rates, conduct actuarial analysis for the agency, and clearly and accurately document all processes for peer review and internal and external actuarial communications. The Actuarial Analyst will do similar work under the supervision and review of a credentialed actuary. The position will be responsible for learning, understanding, and applying knowledge related to regulations and guidance propagated by the Center for Medicare and Medicaid Services (CMS) as well as the CMS Office of the Actuary (OACT) as part of the Medicaid capitation rate development and review process, in addition to following actuarial standards of practice as propagated by the Actuarial Standards Board (ASB).

Major duties and responsibilities include but are not limited to:
• Actuaries - Develop actuarially sound capitation rates, conduct actuarial analysis for the agency, and clearly and accurately document all processes for peer review and internal and external actuarial communications. Actuarial Analyst will do similar work under the supervision and review of a credentialed actuary.
• Actuarial Analyst - Assist with reviewing for accuracy information from other reporting departments, as well as reviewing other managed care programs for quality control purposes, including verifying source data, accuracy of formulas, documentation of assumptions and methodologies, and capitation rate certification review to identify errors or concerns, and make recommendations for corrections.
• Actuaries - Developing, implementing, and updating diagnosis-based risk adjustment models for AHCCCS programs. Developing models to help with actuarial analysis. Calculating costs for potential program changes, budget requirements, and ad hoc analysis.
• Actuarial Analyst - Progress towards attaining an actuarial credential, Associate of the Society of Actuaries (ASA).

Knowledge:
• Federal regulations relating to Medicaid and Medicare
• AHCCCS Rules, Regulations, Policies, Procedures, and Programs
• Actuarial and Financial analysis principles
• Actuarial Standards of Practice
• Basic/Comprehensive knowledge of statistical principles and techniques
• Basic/Comprehensive knowledge of higher mathematics related to actuarial work
• Basic/Comprehensive knowledge of rate setting procedures

Skills:
• Excellent verbal and written communication
• Effective listening and questioning skills
• Project management
• Researching and collecting data from multiple sources, statistical analysis and data management
• Above average financial analysis skills
• Microsoft Office applications including above average Excel skills, Google, and other comparable software programs

Abilities:
• Strong analytical ability - analyze complex data and draw valid conclusions
• Prepare accurate, comprehensive reports
• Plan and conduct complex actuarial studies
• Establish and maintain effective relationships with internal and external stakeholders
• Work in a virtual office setting

Minimum:
•Actuarial Analyst - Bachelor’s degree in mathematics, actuarial science, finance, economics, or statistics. Bachelor's degree in other majors in combination with two years experience in financial analysis or capitation rate setting, or one or more actuarial examinations passed.
•Actuary - Member of American Academy of Actuaries (MAAA) and either Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA)

Preferred:
• Experience with Medicaid managed health care preferred.

• 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.

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements.

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

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)
• Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
• Other Leaves - Bereavement, civic duty, and military.
• 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

By providing the option of a full-time or part-time 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.

Learn more about the Paid Parental Leave pilot program here. 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 careers@azahcccs.gov.
Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.