Job Title:
Sr. Managed Care Actuary
Job ID:
Shared Services
Managed Care
Full/Part Time:
FTE %:
Salary Range Min:
Salary Range Max:

Position summary

Sr. Managed Care Actuary (Job Opening 444745) - The Senior Managed Care Actuary is responsible for developing highly complex data models to analyze and prepare for population health management and risk based contracting. Will develop and analyze new reimbursement models to include, but not limited to, bundled payments, episodes of care and capitation in support of managed care contract negotiations. Will perform data mining and actuarial analysis that impact pricing assumptions. Will develop cost, quality and efficiently reporting by provider and/or facility to maximize value based reimbursement. Will support and guide Managed Care Actuarial team by overseeing projects and reviewing work for actuarial and financial soundness. Will lead projects, both ongoing and ad hoc, and manage workload for department and act as actuarial authority. Other ad hoc work as requested.

Work performed will be integral to the development of managed care payor strategies.

Education and experience

Bachelors degree in Actuarial science or an equivalent combination of education and experience; On the Actuarlieal exam track, having passed 3 or more Actuarlial exams; 3-5 years experience in supporting a similar function and understanding of healthcare data, trends, and reporting; Ability to think proactively and contribute to the organization?s forward progress; A wide degree of creativity and latitude is expected; Able to manage multiple deliverables across a short horizon with demonstrated follow-through and able to handle ambiguous work environment and operate with little supervision under tight schedules.