Software Engineer
Actuarial Manager leading development, validation, and optimization of revenue forecasting models for Medicare Advantage, utilizing data modeling, statistical analysis, and SQL to ensure accurate revenue projections for agilon health.
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Job Description :
This position is not eligible for current or future sponsorship or employer-supported work authorization by agilon health . Applicants must be able to accept and maintain employment with agilon health in the United States for the full duration of their employment without sponsorship or work authorization support.
The Actuarial Manager, MA Revenue Analytics is responsible for leading the development, validation, and optimization of models and analytics that support accurate revenue forecasting for agilon’s Medicare Advantage (MA) population. Models will incorporate CMS and health plan provided data as well as operational leading indicators. Results will be used for budgeting, forecasting, contracting, and monthly booking activities.
Essential Job Functions:
• Build upon existing processes to create standardized MA risk adjustment projection models
• Evaluate operational leading indicators and connection to actuarial projections
• Influence BOI (Burden of Illness)-based operational leading indicators
• Benchmark market performance and identify areas for opportunity
• Investigate differences in health plan risk adjustment coding practices using MAO-004 data
• Summarize YoY changes in MA bid rates/rebates and evaluate impact to agilon’s book of business
• Assess health plan MA bid strategies and partner with payer contracting/other stakeholders to mitigate risks
• Educate internal stakeholders on the health plan MA bidding process and risk adjustment where necessary to appropriately deliver results
• Provide actionable insights and recommendations to senior leadership based on actuarial analyses
• Collaborate with Payer Data Management to onboard new revenue-only MA payers in the FDP (Financial Data Pipeline)
• Prepare internal/external audit documentation
• Support build-out of improved actuarial team processes
Other Job Functions:
· Grow and lead talent
· Exemplify companies’ core values
· Collaborate with Market Finance, FP&A, Accounting, Med Econ, and others
Required Qualifications :
Minimum Experience
Education/Licensure
Knowledge, Skills, and Abilities:
Posted June 18, 2026