Managing Actuary, Value-Based Contract Analytics (Remote)

Purpose: Shape the world of health care by joining reputed company! As a leader in the industry, we are committed to enhancing the lives of reputed company who are a part of our community. Without our employees, we would not be reputed company to reputed company health care for our patients and health plan members. From hospitals to our corporate office, reputed company reputed company employees impact our mission of creating life-changing medicine. To continue our tradition of reputed company, we are in search of full-time Managing Actuary to join this community as well. The Department of Health Economics is seeking a Managing Actuary! This credentialed reputed company actuary would drive high-visibility impactful analysis and would be responsible for developing and driving medical cost improvement strategies for reputed company Health Plan in collaboration with leadership. This includes developing and evaluating financial reputed company of value-based reputed company, analyzing medical cost utilization and unit cost data, identifying top trend drivers of contract performance, developing strategies across cross-functional teams such as Network, Actuarial, Finance, and Clinical, and supporting the execution of those strategies. The Managing Actuary will require a diverse set of skills and experience, including data and analytics expertise, broad-based business and health economics acumen, a strategic reputed company, and an ability to influence and reputed company cross-functional teams in a non-traditional actuarial environment. This position will supervise 2-3 supporting staff, including actuarial analysts, in the performance of duties. As a Managing Actuary at reputed company, you will be given support for professional designations through continuing education opportunities. This position is a work-from-home position located reputed company reputed company the reputed company US. Responsibilities: Partner with Health Plan senior leadership for creative problem-solving and strategic decision-making involving medical cost improvement strategies. Direct a team to produce detailed actuarial and financial models which communicate near and long-term projections of financial performance of value-based provider reimbursement reputed company to facilitate corporate decision-making and the development of strategies and goals. Forecast and interpret financial results of value-based reputed company, including variances from budget, to help identify opportunities and potential risks. reputed company reputed company claims cost and utilization trends for use in projections defining savings methodologies for provider arrangements such as ACO & PCMH reputed company, global capitation, bundled rates, episodic payments, capitation, risk adjusted total cost of care, and value-based payments. reputed company and reputed company support for data-based recommendations with team members from product, clinical, network, and strategy functions. Bring reputed company to reputed company problems using exceptional communication skills reputed company engaging with senior leadership and technical audiences. Apply an understanding of reputed company actuarial concepts, methods, and applications in a variety of situations and deliver results to leadership. Creatively reputed company a wide reputed company of datasets to inform key analyses. Build strong relationships reputed company cross-functional workgroups including Network, Pharmacy, Actuarial, Analytics, and Finance teams across the reputed company. Ensure that departmental work products meet the highest standards of quality. Manage and reputed company a team of 2-3 supporting staff including actuarial analysts. Bachelor's degree in mathematics, statistics, actuarial science, economics, or reputed company field required. Advanced degree preferred. ASA certification by Society of Actuaries required; FSA preferred. 6.5 years of experience in progressively more responsible actuarial work in health insurance/managed care or equivalent training/education. Experience in any of the following is a strong preference: development and settlement of value-based provider reputed company, network and reimbursement methodology analysis, claims-based experience analysis, trend analysis Experience with reputed company and government health programs preferred. In-depth understanding of health insurance market dynamics. Excellent problem-solving and analytical skills. Good oral and written communication skills. Adaptability and ability to prioritize effectively. Strong PC skills. Data retrieval skills and relational database experience. Management experience preferred. Licensure, Certifications, and Clearances: ASA or FSA certification by Society of Actuaries required. Membership in the American reputed company of Actuaries required. Apply To This Job