Lead, Actuarial Analyst

Lead, Actuarial Analyst

This job is no longer open

Lead Actuarial Analyst

The main function of this role will be to lead actuarial functions and collaborate with internal/external stakeholders, with particular focus on cost of care analytics, forecasting, and value-based contracts. The Lead Actuarial Analyst will execute work assignments using actuarial and statistical methods. The role will include the benefit of an actuarial study program, designed to motivate, and support you through your exams.

Essential Functions

  • Create detailed actuarial and financial models
  • Use analytical tools to identify meaningful trend drivers, with linkage to financial results
  • Lead projects, including IBNR, accruals, and settlements related to value-based contracts
  • Develop actuarial models to assess viability of new and ongoing initiatives and clinical programs
  • Manage forecast assumptions and interpret financial results, including variances from forecast to help identify product and segment behavior to assist in risk management of the business units
  • Partner with key stakeholders across Strive’s Strategy, Clinical and New Market functions to identify data driven opportunities to add value to existing and potential partners
  • Present models and deliver insights/expertise to a diverse audience
  • Communicate analyses and results with external clinical partners
  • Meet in person with internal and/or external stakeholders to facilitate team and business priorities/opportunities. 

Minimum Qualifications

  • Bachelor’s degree
  • 5+ years’ experience in actuarial services, in a healthcare environment
  • ASA or near-ASA, candidates must be on the Actuarial exam track 
  • Remote opportunity with occasional business travel
  • Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms

Preferred Qualifications

  • Experience in Commercial, Medicaid or Medicare analysis
  • Experience using advanced Microsoft Excel functions and SQL
  • Strong oral and written communication skills
  • 3+ years’ experience analyzing medical claims, lab data, EMR data and clinical data
  • Experience in value-based care preferred
  • Experience with CMS shared savings programs strongly preferred
  • Entrepreneurial spirit and comfort in ambiguity; desire to be a self-starter 

Annual Salary Range: $93,400.00-$116,700.00

 

This job is no longer open
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