Actuarial Analyst bei Deacon Health
Deacon Health · Nashville, Vereinigte Staaten Von Amerika · Onsite
- Professional
- Optionales Büro in Nashville
Description
Overview:
The Actuarial Analyst will play a key role in supporting analytical needs across Deacon Health’s Operations, Clinical, and Finance teams. This will be a colleague who is motivated by the challenge of answering complex medical economics questions using a variety of data sources. This is a fast-paced position that will enable high-quality personal development and growth.
Primary Responsibilities and Essential Duties:
- Identify, monitor, and analyze principal health care cost drivers, by market segment and/or by provider, including utilization and referral patterns and reimbursement rates
- Bid development/pricing: leading the pricing of contracts from assistance with strategic positioning to overseeing the development of assumptions, providing actuarial certification and final upload to post submission bid support
- Research healthcare delivery topics, analyze data, present results, and recommend solutions to address business challenges by applying knowledge of medical claims analysis, critical-thinking skills, and healthcare experience/expertise
- Analyze claims, membership, and prior authorization data to identify early signs of trends or other issues related to medical care costs and quality of care
- Provides actuarial support for Medicare Advantage plans by identifying trends and profitability drivers utilizing sound statistical methods.
- Utilizes experience with HCCs and RAFs to forecast revenue projections
- Structure analytical results in an organized, visual manner to tell a meaningful, actionable story
- Work with Engineering team to source data, determine its credibility and usability, create end-user reports, and apply varying analytical techniques to solve specific business problems
- Perform ad-hoc requests from key stakeholders
- Interpret contractual language with a clear understanding of business rules and reporting requirements
- Execute other duties and special projects as needed, focusing on knowledge and skills development
Requirements
Qualifications
- At least 3 years’ professional work experience in an actuarial or related field
- Completed and passed at least 4 actuarial exams, preferably SOA
- A bachelor’s degree in actuarial science, mathematics, statistics, finance economics, data analytics or related major is required
- Outstanding technical skills: Excel proficiency preferred, coding experience in Python, R, SQL, required
- Analytical skills: Ability to think critically, problem solve and drive business impact
- Effective interpersonal, written and verbal communication skills
- Strong demonstrated ability to lead paired with initiative and curiosity
- Commitment to professional development and learning the business of healthcare
Why Join Us
This is an opportunity to contribute to a mission-driven organization focused on improving patient outcomes through value-based care. If you are passionate about healthcare compliance and regulatory integrity, we encourage you to apply!
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