Senior Associate, Actuarial Services

Interwell Health

74d

About The Position

Interwell Health is a kidney care management company that partners with physicians on its mission to reimagine healthcare—with the expertise, scale, compassion, and vision to set the standard for the industry and help patients live their best lives. We are on a mission to help people and we know the work we do changes their lives. If there is a better way, we will create it. So, if our mission speaks to you, join us! As a Senior Associate, Actuarial, you are responsible for analyzing and monitoring related data across the enterprise, applying business knowledge and expertise to support business initiatives and solve business problems, and communicating results and findings to key stakeholders. You are responsible for the development, coordination, and management of medical economics models and health services outcome studies and for the design and development of integrated data analysis products and Pharmacoeconomics data analysis.

Requirements

• 5-10 years related experience.
• Strong computer skills with demonstrated proficiency in word processing, spreadsheet, presentation, database and email applications.
• Strong interpersonal skills with the ability to lead effective and productive teams.
• Excellent oral and written communication skills to effectively communicate with all levels of management.
• Prior experience in multi-location environment within the healthcare industry preferred.

Responsibilities

• Performs assigned actuarial analysis tasks in support of pricing, reserving, provider contract development, and product development.
• Utilizes actuarial systems and programming skills to access and organize the data, performing applicable actuarial calculations.
• Analyzes moderate to complex information, assesses the reasonability of results and draws conclusions.
• Updates exhibits and slides, and completes documentation.
• Assists in the development of pricing methodologies, analysis of the plan's risk pool and identification of trends in IWH's cost structure.
• Supports management in the financial feasibility of potential acquisitions, joint ventures, and startup businesses by providing complex analyses and financial models for diverse financial data.
• Prepares presentations for review by management, board of directors, and diverse governing bodies by providing diverse financial data.
• Develops revenue and medical claims expense models for evaluating and projecting risk-based contracts with health plan clients, ACOs, and government partners.
• Drives decision-making around proposed contract changes and financial evaluation of specific contract terms.
• Acts as a subject matter expert in medical economics in relation to Medicare and Managed Care.
• Ensures data integrity is maintained throughout the reporting lifecycle.
• Collaborates with Finance and other internal departments, including clinical, to analyze the financial value of vendor contracts.

What This Job Offers

• Career Level: Mid Level
• Number of Employees: 501-1,000 employees