Senior Analyst, Actuarial – Medicaid
CVS Health
Managing Director, Actuarial Services
Evolent
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $165,000 - $180,000 per year
Job Level
Lead
About the role
- Serve as the lead for medical cost and revenue projections for Performance Suite business
- Partner with Performance Solutions to analyze and size impact of innovative care models
- Oversee Medical Cost Action Planning work to identify, size, and support new programs aimed at reducing cost of care
- Partner with Performance Suite Analytics leaders to understand cost drivers to inform future cost expectations
- Coordinate with internal teams to ensure clean and consistent tracking of Evolent’s covered membership and claims
- Synthesize complex analyses into succinct presentations for communication to key internal and external executive stakeholders
- Partner with team members across the organization to ensure accurate and timely delivery of quarterly forecast updates
- Build tools and capabilities to quantify and narrow range of expected outcomes for financial performance
- Participate in execution of complex deal structures for potential new and existing clients
- Perform ad hoc client-specific analyses to support strategic decision-making
Requirements
- Bachelor’s degree in quantitative field (Required)
- Associate of Society of Actuaries credentials (Required)
- 10+ years of experience working in a medical economics-related field (Required)
- Exceptionally strong analytical abilities, with a track record of identifying insights from financial information and translating into recommendations (Required)
- Ability to multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, and manage a project from start to finish (Required)
- Able to work independently to meet deadlines within time constraints (Required)
- Strong interpersonal skills to coordinate with people across all areas of the organization in a fast-paced, dynamic environment (Required)
- Strong communication skills with ability to work with technical and non-technical audiences (Required)
- Ability to handle ambiguity and demonstrate initiative to identify and resolve problems (Required)
- Experience delivering executive-level presentations for strategic decision-making (Required)
- Basic knowledge of risk/capitation contracting (Required)
- Experience with project and stakeholder management (Required)
- Fellow of Society of Actuaries credentials with Group Health track (Preferred)
- Familiarity with healthcare claim processing (Preferred)
- 5+ years experience at payer or management consulting firm (Preferred)
- Basic knowledge of GAAP (Preferred)
Benefits
- Comprehensive benefits (including health insurance benefits)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical cost projectionsrevenue projectionsfinancial analysisdata synthesisforecastingrisk contractingGAAPproject managementstakeholder managementhealthcare claim processing
Soft skills
analytical abilitiesmultitaskingprioritizationadaptabilityindependenceinterpersonal skillscommunication skillsproblem-solvinginitiativepresentation skills
Certifications
Bachelor's degreeAssociate of Society of ActuariesFellow of Society of Actuaries
