JOB OPPORTUNITES

Manager – Health Actuarial Services-9397

Manager - Health Actuarial Services-9397

Published: February 18, 2022
Location
Philadelphia, PA
Job Type
Category
Job ID
9397
Yrs Exp(min)
5+
Credentials
FSA
Salary (Mid)
$125,000
Bonus
Yes
Recruiter
Matt Doman
Recruiter Phone Number
800 543-2553 Ext. 103

Description

Client looking for strong actuarial skills and leadership ability preferably at the FSA level to step in and manage a small team of analysts. Develop health care cost trend analytics as part of a dynamic team. Build, deploy and maintain dashboards and analyses that support identification of meaningful medical and pharmacy cost trends. Collaborate with subject matter experts to identify root causes of trends. Work with markets and corporate functions to identify potential medical cost containment initiatives to manage MLR and develop tracking tools to identify realized vs expected savings targets. Develop provider contracting tools and methodologies to support network teams - familiarity with value based contracts, risk sharing arrangements, traditional per case and per diem contract development preferred. Provides support to negotiations on reimbursement rates and provides data to support rate changes/adjustments in various markets. May work with multiple business segments and departments. The ideal candidate will have a thirst for continuous learning, investigative analytics, reporting, analysis and creative problem solving. He/she will be sought out as an expert on the projects they support, sharing work with a wide array of audiences. This is a great opportunity to utilize strong skills in programming, analytics and reporting.
Qualifications:
Bachelor's Degree actuarial science, statistics or mathematics or business field required
FSA certification
5+ years working within a managed care organization, health insurer or as a consultant
5-7 years claims analysis or cost reporting experience
5+ years working in / from a data warehouse environment
5+ years SAS or SQL programming experience
Experience using SAS Enterprise Guide
Experience developing Tableau Dashboard
Programming experience in Python and R a plus
Problem solving skills, including the ability to work independently and systematically analyze complex problems, draw relevant conclusions and successfully devise / implement solutions calmly and effectively
Advanced capabilities with MS Excel including VBA, Pivot tables and running queries proficiency with PowerPoint.
Establish ability to manage multiple initiatives, shifting back and forth effectively among activities to produce positive results in a dynamic environment
Excellent written and verbal communication skills, strong data presentation skills and solid understanding of relational database fundamentals

To apply please email: Matt Doman | 800 543-2553 Ext. 103
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