Senior Actuarial Analyst - Health-8560
Client looking to add a senior actuarial analyst to perform research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information.
Evaluate, write and present healthcare utilization and cost containment reports and make recommendations based on findings.
Analyze results to identify early signs of trends or other issues related to medical care costs.
Design and perform studies related to medical care costs and trends.
Perform financial modeling of provider contracts so negotiations are well informed.
Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies.
Research and develop reports and analysis
Assist in the preparation of claim experience reports, rate models, and state regulatory reports.
Must have at least 3+ years of relevant experience to be considered, but ideally looking for 5 or more years of progressive responsibilities in Data, Finance or Systems Analysis.
Expert knowledge on SQL, SSRS, and SSIS or similar tools.
Preferred experience in medical economics and strong knowledge of performance indicators.
Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc.