| Senior Healthcare Actuarial Consultant on Remote at Remote, Remote, USA |
| Email: [email protected] |
| From: Subhash Tamta, Convextech.inc [email protected] Reply to: [email protected] Hi, Hope you are doing good.!! Please let me know if you are interested in the below position.!! Position: Senior Healthcare Actuarial Consultant Location: Remote Opportunity but need to be based in one of the following states-MN, TX, FL, NY Duration: 6-12Months Visa: USC GC Only Interview: Video Job Description: Will lead actuarial workflows in support of ACO REACH & MSSP performance evaluation and forecasting. In addition, this role leads value-based contracting (VBC) workflows to include evaluation and forecasting of full and partial risk arrangements between affiliated providers and payors from multiple LOBs (Commercial, Medicare Advantage, Medicaid, etc.). Additional cross-functional support role working with Line of Business, Analytics, Finance, Marketing and other areas of the company that may need data summarization, modeling framework or research help . EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE Bachelors 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. Thanks and Regards Subhash Tamta US IT Recruiter |Convex Tech Inc. Email: [email protected] linkedin.com/in/subhash-tamta-605381301 Keywords: information technology green card Florida Minnesota New York Texas Senior Healthcare Actuarial Consultant on Remote [email protected] |
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| Wed Apr 17 07:22:00 UTC 2024 |