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Actuarial Analyst, Amazon One Medical
Amazon One Medical
Application
Details
Posted: 13-Feb-26
Location: United States - Nationwide
Type: Full Time
Salary: 180,000 - 212,000
Categories:
Financial Reporting
Health Insurance - Public Systems
Valuation/Reserving
Sector:
Insurance Companies
Salary Details:
Total compensation will include salary, sign on payment, and equity. Expected total compensation range can be explained by job's recruiter and is much higher than the displayed salary range.
Required Education:
4 Year Degree
Additional Information:
Employer will assist with relocation costs.
Internal Number: 3102759
Depending on candidate preference this role will be located in: San Francisco, Boston, New York, or Seattle. This is not a remote or hybrid role.
Amazon One Medical is hiring an Actuarial Analyst. Actuarial rigor is one of the keys to our success. This candidate will be responsible primarily for several critical workstreams which include analysis of Medicare Advantage and Accountable Care Organization data, design and implement an actuarially sound monthly reserving process for Total Medical Expense (TME) estimation, and lead continuous evaluation of TME performance compared to plan expectations.
KEY JOB RESPONSIBILITIES
• Analysis of Medicare Advantage and Accountable Care Organization data primarily
• Medical economics reporting and ad-hoc analysis relating to cost of care management
• Medicare Risk score projections and premium estimation
• Design and implement an actuarially sound monthly reserving process for Total Medical Expense (TME) estimation
• Lead continuous evaluation of TME performance compared to plan expectations
• Coordinate with the finance team on future TME projections that are refreshed monthly and provided quarterly for forecasting and planning
• Support month end financial and accounting processes for relevant actuarial estimates
• Value based care contracting support and ongoing financial and risk analysis
• Support ongoing actuarial support for outside auditor review of financial estimates and results
• Design studies to monitor the suitability of the completion factor estimates
• Lead continuous evaluation of risk based funding and scoring performance compared to plan expectations
• Complete the evaluation of stop loss coverage and manage third party vendors
• Analyze and develop new to market assessments and modeling which includes future Medicare geographic expansion and enhancements / changes to other market segments (Commercial potentially)
BASIC QUALIFICATIONS
• 6+ years of data scientist experience • Associate of the Society of Actuaries (ASA) is required
• Experience with Medicare or Medicare Advantage products
• Strong knowledge of actuarial reserving, forecasting and medical economics
• Expertise in working with medical claims data and using programming languages such as SQL, R, SAS, Python, Snowflake, Tableau/Looker
• Ability to work cross functionally and communicate effectively with stakeholders (Operations, Finance, Planning, & Accounting (FP&A), Clinical, etc.)
• Bachelor's degree is required
PREFERRED QUALIFICATIONS
• Fellow of the Society of Actuaries (FSA)
• Bachelor's degree in Finance, Actuarial Science, Mathematics, Economics, or Business
• Experience working with risk-bearing provider groups • Experience in value-based care, including CMS initiatives such as the Medicare Shared Savings Program (MSSP) and ACO REACH
One Medical offers a comprehensive healthcare experience through its combination of in-person care, digital health services, and virtual care options. Members gain access to same-day appointments, 24/7 virtual care, and a network of primary care providers across the United States. The service emphasizes preventive care, chronic condition management, and seamless digital experiences through its mobile application.
Its mission is to make everyday experiences, including healthcare, more accessible and convenient for customers. By integrating One Medical's established healthcare infrastructure with Amazon's customer-centric approach and technological capabilities, the company aims to transform how people access and experience healthcare services.
