- Provides analytical support for local health plan or business unit, in support of strategic decision making and cost efficiency.
- Develops/maintains subject matter expertise in data extraction and quality assurance as well as current and historical cost experience and trend drivers.
- Supports Actuarial and Finance leaders as needed to ensure budget and forecast accuracy.
- Supports key business leaders in identifying cost efficiency and quality improvement opportunities through reporting and analytics.
- Utilizes SQL, Excel, and other BI tools to define, extract, validate, shape, and interpret data to meet business needs. Accountable for accuracy of work product.
- Effectively manages analytical priorities across regular reporting, ad hoc requests, and development of ongoing strategic activities.
- Supports cost of care initiative tracking, savings and ROI estimates, and KPI dashboards for designated health plan or business unit.
- Develops effective cross-functional relationships, both within Medical Economics and across Finance, Actuarial, and other key business areas.
- Mentors peers and co-workers as appropriate.
- Attained or actively working towards ASA
- 7+ years Analytics/Informatics
- 7+ years Healthcare
- Bachelor's degree in Accounting or Finance or related area of study
- Experienced in managed healthcare analytics (pricing, underwriting, medical economics, etc.).
- Excellent verbal and written communication skills.
- Ability to forge effective business relationships across functional groups.
- Ability to effectively liaison between technical and non-technical groups.
- Strong analytical and problem solving skills; ability to drive results and deliver on multiple tasks.
- Proven track record of designing and executing on key analyses with minimal supervision.
- Must be able to provide accurate estimates of work effort and deliver results within a committed time frame.
- MS Suite power user; Expert level knowledge of SQL, Qlikview, Tableau or similar business intelligence tools.
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Sr Actuarial Analyst - Not specified, United States - Prime Therapeutics LLC
Description
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.Job Posting Title
Sr Actuarial Analyst - Remote
Job Description Summary
Supports analytical needs for assigned business unit, working with national and local leadership as needed to drive cost efficiency and quality within the market/business. Provides subject matter expertise for current and historical cost experience, cost drivers and trends to Med Econ leadership. Uses technical skills to efficiently respond to analytical requests, as well as pro-actively build tools and reports that will improve market/business intelligence. Accountable for ensuring analytics are timely and accurate.
Job Description
This role leads analysis and development of efficient reporting on high-cost drug trends and the impacts of management strategies for health plan clients. The ideal candidate brings expert skills in data analysis, experience building automated models and reporting, knowledge of the healthcare industry, and intellectual curiosity. This role communicates throughout end-to-end projects with a cross-functional team of analysts, actuaries, clinicians, IT, and underwriting professionals.
Work Experience - Required:
Analytics/Informatics, Healthcare
Work Experience - Preferred:
Education
Education - Required:
Bachelors - Actuarial Science, Bachelors - Mathematics
Education - Preferred:
Certifications
Certifications - Required:
Certifications - Preferred:
Potential pay for this position ranges from $73, $117,720.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.
Prime Therapeutics LLC is an Equal Opportunity Employer and a Tobacco-free workplace. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Positions will be posted for a minimum of five consecutive workdays.
