Interwell Health

Senior Associate, Actuarial Services

Interwell Health

full-time

Posted on:

Location Type: Remote

Location: Remote • 🇺🇸 United States

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Job Level

Senior

About the role

  • 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
Soft skills
interpersonal skillsleadershipcommunication skillsteam collaborationpresentation skills
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