Description:
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Position: Senior Actuarial Analyst
Job ID: 39836
Responsibilities:
-lead and/or assist in developing, operationalizing, and maintaining financial models and analyses for tracking, reporting, and improving the performance of value-based care (VBC) and risk arrangements at the contract level, at the portfolio level, and at the regional/service area level.
-responsible for accurately capturing, recognizing, and allocating expected and earned incentives, as well as modeling the impact of utilization and population risk changes on the performance
-Assists with financial analysis including performing complex reconciliations for VBC and risk arrangements. Models financial impacts of changes in risk adjustment, utilization management, and arrangement structure.
-Conducts gap analysis and data validation, identifying possible issues in data submission and determining financial impact.
-Supports VBC contracting efforts by calculating impact of changes to contract parameters and by developing new contract structures.
Qualifications:
-5 years Healthcare analytics experience;
-Experience with writing queries in SQL or another programming language
-Demonstrated experience applying project management skills in data-related and financial analysis projects.
-Ability to analyze and interpret financial data
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