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
...Assembly Mechanic at BOEING summary: Assembly Mechanics at Boeing Defense, Space & Security perform precision assembly, installation, and troubleshooting of aircraft and spacecraft components. They use various tools and techniques including drilling, riveting, electrical...
...individuals and up to $7 shift differentials for evening, night, and weekend shifts. Relocation assistance for eligible candidates! Job... ...ones ~ Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care; Access free legal guidance, mental health...
...Enforcement Bureau (IEB). The IEB is the primary enforcement agent for regulatory matters under the Massachusetts gaming law (M.G.L. c. 23K) and sports wagering law (M.G.L. c. 23N). Under the direction of the Chief Enforcement Counsel, the Enforcement Counsel will work...
...Description Salary: $20 - $30 an hour DOE Delta Group is a privately held, national investigative firm established in 1983 and headquartered in Buford,... ...leadership team brings over 100 years of combined experience leading national carrier fraud divisions, state fraud...
...Audit Senior Associate Wichita, KS | Onsite ARC Group is recruiting for an Audit Senior Associate on behalf of a nationally recognized public accounting firm in Wichita, Kansas. This direct-hire opportunity offers competitive compensation, excellent benefits, and...