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
**Security Flex Officer**We help make your world a safer place.Securitas is a global company that offers the most advanced and sustainable... ...:**+ Must have 2 shift availability+ Must have California Driver License+ Must have reliable means of transportation+ Heavy...
...Product Photographer/Videographer Location: Ann Arbor, MI (On-site) Job Type: Full-time Were looking for a creative, detail-oriented Product Photographer/Videographer to join our growing team. If you have a passion for capturing compelling product imagery...
...navigate tax laws while maximizing their savings? We're looking for a Remote Tax Advisor / Accountant to join our growing team! In this role,... ...efficiently. ### What We're Looking For - Credentials: CPA, EA, or an experienced tax professional with relevant...
Verizon Customer Service Representative Location Spokane, WA : Our company works to represent and elevate advanced technology with one of the largest telecommunication companies in the nation - Verizon As a leader in the business development space, we have consistently...
...rate to achieve your quality goals. Extensive use of electronic medical records in an ICD-10 environment is also required.**Hours** : This... ...:**+ Receive assigned provider inquiries and perform a code review on both professional and facility claims+ Make determinations...