Senior Healthcare Actuarial Consultant
Remote but in these states only- MN, TX, FL, NY
USC & GC only
EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE
· Bachelor's degree required in Math, Statistics, Economics, Actuarial Science, or a related field
· 4+ years of actuarial experience with 5+ years working within healthcare
· 2+ years working with a CMMI ACO Model (of any kind) is strongly preferred
· 2+ years performing medical IBNR / Reserving calculations is strongly preferred
· 2+ years working with individual/small group ACA rate filings or Medicare Advantage bids is preferred
· Working knowledge of the CMMI Direct Contracting or Accountable Care Organization (ACO) program(s)
· Working knowledge of industry value-based contracts between payers and providers (risk sharing arrangements)
· Experience leading projects and ownership of deliverables
PROFESSIONAL COMPETENCIES
· Proficient in Microsoft Excel (VBA, advanced data visualization, etc.) and other Office products
· Experience with forecasting, modeling, SQL (Databricks experience is a plus)
· Understanding of company practices related to management of member populations for purposes of estimating risk
· Produce, understand, and interpret internal and external analysis and reports; provide effective technical and non-technical support to internal and external stakeholders
LICENSURES AND CERTIFICATIONS
· Associate of the Society of Actuaries is required.
Job Type: Contract
Pay: $50.00 - $60.00 per hour
Benefits:
Experience level:
Experience:
Work Location: Remote
...Trauma and Acute Care Surgeon (MD/DO) Position Summary The Trauma and Acute Care Surgeon provides comprehensive surgical care for patients with traumatic injuries and acute surgical conditions. This role includes trauma resuscitation, operative and non-operative management...
...OrthopedicSurgeon- Bronx, NY (#1529) Medical, Dental, and Vision insurance Flexible Spending Account Paid Time Off Retirement Savings Commuter Benefits program Visa Sponsorship opportunities Board Certified or Board Eligible Impact...
...ability to follow multi-step processes # Utilization of Zebra PDA and POS Systems # Ability to work varying hours including early mornings, days, mid shifts, nights, weekends, and holidays PHYSICAL DEMANDS: # Must have adequate vision, speech, hearing, and...
The Sales Assistant plays a crucial role in supporting the sales team and ensuring a seamless, high-quality customer experience at Pauli... ...on vehicles.* Assist in photographing vehicles for online inventory listings.* Report any vehicle damage or mechanical...
...established Washington, DC-based national organization is seeking a Web Developer to join its in-house web services team. This is a hybrid... ...on delivering modern, accessible, and user-friendly web experiences that support its mission and strategic initiatives. As part...