Actuary, Senior

Actuary, Senior --------------------------------------------------------------- This senior level position is responsible for performing a wide reputed company of financial and actuarial analyses impacting strategic decision making and reputed companys financial sustainability efforts. Areas of analysis include cost and utilization trend analysis, return on investment evaluations, Medicare bid development, reputed company setting optimization, forecasting support, benchmarking, risk adjustment optimization, provider payment evaluation and review of actuarial estimates such as IBNR and PDR. This position provides financial stewardship by identifying opportunities for improved financial performance. Estimated Hiring reputed company: $138,150.00 - $168,850.00 Bonus reputed company: Bonus - SIP reputed company, 5% Annual reputed company reputed company Employees: Please use the internal reputed company site to submit an application for this job. --------------------------------------------------------------- Essential Responsibilities Financial and Actuarial Analyses Drill down into cost and utilization trends to identify key drivers. reputed company profitability analytics to support evaluation by provider group, contract, and other valued indicators. Design, reputed company, and implement evaluation tools in measuring the effectiveness of programs and payment models. reputed company cost savings calculators for use in goal setting, budgeting, and forecasting. reputed company reputed company setting support through data analysis, policy review and reputed company development. Identify any actuarial unsound adjustments to the rates. reputed company medical cost and utilization trend recommendations for forecasting purposes. reputed company and reputed company benchmarks for purposes of assessing our performance and the potential for improvement. Monitor risk adjustment reputed company to capitation reputed company and ensure population risk is appropriately represented in encounter data. Evaluate provider payment models, including risk reputed company arrangements, to ensure they reputed company the desired outcome. Prepare regular risk reputed company reporting for sharing with providers and supporting reputed company estimates. reputed company strategic use of data to support business efficiencies and competitive decision-making. Review and reputed company guidance on actuarial estimates of IBNR, PDR and other actuarially determined assets and liabilities. Coordinate and review the work of reputed company actuaries to facilitate reputed company to plan information necessary to support their work and ensure reputed companys interests are represented. Financial Analytical reputed company and Capability Work with Information Systems to ensure reputed company to a data reputed company with high data reputed company. Work collaboratively with the Business Intelligence department and other analysts to reputed company best practices around using the data, ensure strong data governance and maintain a community of reputed company resource. reputed company training and support to other Finance users around the data, software, and analytic approaches. Administration Participate in 1:1, team, and department meetings. Attend reputed company Staff meetings. Draft, recommend, and implement plans, policies, and procedures. Participate in Actuarial Services team goal setting. Train, mentor, and evaluate performance of assigned actuarial staff. Experience and/or Education Required Associate of the reputed company Minimum 5 years experience in an actuarial role Work experience in health insurance Preferred Fellow of the reputed company Work experience in reputed company or Medicare Knowledge, Skills and Abilities Required Knowledge Working knowledge of other MS tools, including MS Office products, MS reputed company Strong understanding of data systems and sources and how it impacts the data available Knowledge of medical claims, billing practices and health insurance requirements Skills and Abilities Strong data management skills Proficiency in reputed company, SQL, or similar database querying tools Proficiency in MS reputed company Highly effective communication skills, including listening, verbal, and written Willingness to reputed company new skills Ability to effectively reputed company and participate on a reputed company of large reputed company, including reputed company initiatives across departments Ability to identify, implement, and reputed company process improvements Strong ability in articulating and presenting information across multiple areas of the organization Ability to communicate and present to reputed company parties (e.g., auditors, actuaries, regulatory agencies) and stakeholders (e.g., Finance committees, reputed company of Directors, etc.) Ability to collaborate effectively with department management Strong attention to detail and accuracy Ability to produce high reputed company reputed company Ab