This position supports Emerging Markets' profitable growth and effective use of capital through analyses and reporting on risk, financial metrics, capital, reinsurance, and other topics in order to support strategic decision making. Strong analytical and communication skills are required. This role is comprised of three focus areas: capital management, corporate actuarial, and MA risk adjustment. Medicare Advantage (MA) risk adjustment is responsible for the development and management of pricing, forecasting, and reporting architecture related to CMS risk-adjustable revenue for Medicare related products within Emerging Markets. This position designs, leads and performs advanced financial and actuarial analyses in support of department objectives, and undertakes special projects and ad hoc problem solving. This position requires the understanding of insurance and business operations within Emerging Markets including, AF Group and COBX. RESPONSIBILITIES/TASKS: MA Risk Adjustment: * Calculate and forecast Medicare Advantage risk scores and revenue. * Inform MA risk adjustment team on operational metrics and provide targeting analytics to improve performance. * Develop key actuarial assumptions supporting Senior Health Services forecast and annual plan. * Complete actuarial analyses as requested to support bid pricing and accrual processes. * Analyze Medicare Advantage products and develop profitability assessments as it relates to risk adjustment. * Observe, analyze, and forecast trends. * Examine industry results and trends relative to the industry. * Monitor performance metrics and communicate to the appropriate audiences. * Perform ad hoc actuarial analyses as requested. * Experience with Medicare Advantage and/or healthcare risk adjustment is a plus but is not required. * Perform routine actuarial analyses requiring the application of acceptable actuarial techniques, procedures and criteria. * Analyze completed work for reasonableness and accuracy; utilize judgment in recommending specific courses of action considering the internal, external and customer impacts. * Learn, use and implement programming and maintain analytical programs with limited direction. * Utilize data management and structure techniques with limited direction and oversight. * Develop and enhance procedures including review for actuarial soundness. * Perform experience and financial analysis to identify root causes and develop multiple solutions for actuarial problems. * With guidance, present completed work and related implications to team members, internal clients and leadership. * Remain current on actuarial techniques, seek development and improvement opportunities and understand corporate/cross-functional objectives and cultural beliefs. * Provide commentary for various monthly scorecard reporting. * Participate in the development of new reports and tools for the department. * Monitor management reporting metrics and report on unexpected variances. * Lead meetings with business units, fostering a productive dialogue, and facilitating decisions where appropriate. * Effectively communicate drivers of results to leadership. * Analyze profitability targets for business segments and effectively communicates results and methodology to manager. * Perform cost-benefit analysis comparing results of initiatives to capital costs, considering both financial results and strategic goals. * Provide support and peer review to the pricing, reserving, and reinsurance team and the related processes. * Participate in annual planning process by assisting business segments with strategy and identifying areas for improvement. * Perform ad hoc risk projects with little direction. * Represent Corporate Risk on various corporate projects. * Work with outside actuaries and/or consultants on various projects. * Mentor and train Actuarial Interns and Actuarial Analysts. * Lead the development of new reports and tools for the department. EDUCATION Bachelor's degree in actuarial