Performs assigned actuarial analysis tasks in support of pricing, reserving, provider contract development, and product development.
Assist in the development of pricing methodologies, analysis of the plan's risk pool and identification of trends in IWH's cost structure.
Support management in the financial feasibility of potential acquisitions, joint ventures, and startup businesses by providing complex analyses and financial models for diverse financial data.
Prepare presentations for review by management, board of directors, and diverse governing bodies by providing diverse financial data.
Development of revenue and medical claims expense models for evaluating and projecting risk-based contracts with health plan clients, ACOs, and government partners.
Drive decision-making around proposed contract changes and financial evaluation of specific contract terms.
Acts as a subject matter expert in medical economics in relation to Medicare and Managed Care.
Ensures data integrity is maintained throughout the reporting lifecycle.
Collaborate with Finance and other internal departments, including clinical, to analyze the financial value of vendor contracts.
Requirements
5-10 years related experience.
Strong computer skills with demonstrated proficiency in word processing, spreadsheet, presentation, database and email applications.
Strong interpersonal skills with the ability to lead effective and productive teams.
Excellent oral and written communication skills to effectively communicate with all levels of management.
Prior experience in multi-location environment within the healthcare industry preferred
Benefits
Paid time off
Commitment to diversity, equity, and inclusion
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
actuarial analysispricing methodologiesfinancial modelingdata analysisrevenue modelingmedical claims expense modelingrisk-based contractsdata integrityfinancial evaluationsubject matter expert in medical economics