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About the role
Key responsibilities & impact- Analyze claims and authorization data to identify trends, calculate cost of healthcare, and identify medical cost savings opportunities for customers
- Perform rigorous actuarial modeling and forecasting to support gainshare and ROI arrangements
- Incorporate business expectations for the financial impacts of clinical integration, population management processes, provider contracts, and benefit structures into rates and financial projections
- Manage organizational risk through forecasting of financial/statistical data in a manner which is actuarially sound
- Ability to lead and work independently with cross-functional teams
- Consistently deliver high-quality, error-free deliverables
- Manage several projects at varying phases, and ensure projects meet strategic objectives and are managed to timelines
- Interact with and coach teams of actuaries and non-actuaries, including support for team engagement and strategy
- Present reports and analyses to clients and internal executives
- Manage a junior actuarial team member
Requirements
What you’ll need- Bachelor’s degree, preferably with a quantitative major (e.g. actuarial science, statistics, mathematics, economics, data science) – Required.
- Associate or Fellow of the Society of Actuaries - Required.
- 5+ years of experience in a health actuarial setting - Required.
- Strong proficiency with Microsoft Excel– Required.
- Strong leadership & project management skills - Required.
- Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs – Required.
- Excellent communication and presentation skills. Must be comfortable presenting complex analyses to internal and external client executives – Required.
- Actuarial experience in value-based care or Medicaid - Preferred.
- Experience in claims-based healthcare analytics to drive decision making - Preferred.
Benefits
Comp & perks- Health insurance benefits
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
actuarial modelingforecastingdata analysishealthcare cost analysisclaims-based healthcare analyticsfinancial projectionsstatistical data managementquantitative analysisExcel
Soft Skills
leadershipproject managementcommunicationteam engagementproblem-solvingpresentation skillsindependent workcross-functional collaboration
Certifications
Bachelor’s degreeAssociate of the Society of ActuariesFellow of the Society of Actuaries
