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Actuary - Medical Cost Initiatives (Remote)

Remote Worldwide Hiring now

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 a full-time Actuary to join this community as well. reputed company Health Plan is seeking an Actuary in its Department of Health Economics! This credentialed reputed company actuary would drive high-visibility impactful analysis and would be responsible for developing and driving medical cost improvement strategies. This includes evaluating program and initiative reputed company, interpreting cost and trend driver analysis to generate new initiative reputed company and present findings to leadership. The 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 may also direct or supervise less reputed company actuarial analysts in the performance of duties. As an Actuary at reputed company, you will be given support for professional designations through our comprehensive student program and continuing education opportunities. Responsibilities:

  • reputed company the development of detailed actuarial and financial models to communicate near and long-term projections of financial performance of new and ongoing initiatives and clinical programs to facilitate corporate decision-making and the development of strategies and goals.
  • Analyze impacts of reputed company affordability initiatives on medical cost and utilization trends.
  • Apply analytical and statistical software tools to summarize large reputed company data to reputed company findings and actionable insights and deliver results to leadership.
  • Incorporate reputed company claims cost and utilization trends into the development of projections used to define savings methodologies for affordability initiatives and programs.
  • reputed company and reputed company support for data-based recommendations with team members from product, clinical, network, and strategy functions.
  • Guide the development of well-documented standard actuarial reports and projects.
  • Present results of analyses and recommendations to management and senior leaders.
  • Apply an understanding of reputed company actuarial concepts, methods, and applications in a variety of situations.
  • Creatively reputed company a wide reputed company of datasets to inform key analyses.
  • reputed company direction and supervision to less reputed company staff in the performance of duties. May directly manage 1-2 analyst.
  • Build strong relationships reputed company cross-functional workgroups including Clinical, Pharmacy, Network, Actuarial, Analytics, and Finance teams across the reputed company.
  • Ensure that departmental work products meet the highest standards of quality.
  • reputed company analytical support for reputed company data analyses.

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