16 часов назад
Senior Actuarial Support Analyst (Healthcare Analytics)
105 000 - 115 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Senior Actuarial Support Analyst (Healthcare Analytics): Developing and maintaining complex financial models to evaluate cost-saving initiatives in prior authorization and claims with an accent on healthcare analytics, medical cost drivers, and executive reporting. Focus on quantifying cost-reduction outcomes, identifying trends and anomalies in claims data, and measuring post-implementation impact.
Location: United States; fully remote with about 5% travel, including possible travel to Boston, MA for onboarding and occasional in-person meetings and company events
Salary: $105,000–$115,000 annually, plus benefits and bonus
Company
develops a clinical intelligence platform and AI-powered solutions that improve payer-provider decision-making, prior authorization, payment accuracy, and healthcare outcomes.
What you will do
- Design, maintain, and lead complex financial models for cost-saving initiatives and business cases.
- Analyze prior authorization and claims trends, decision patterns, cost drivers, and potential savings opportunities.
- Use statistical and data visualization tools to identify trends, patterns, and anomalies in claims data.
- Prepare executive-level reports and presentations on savings achievements, project performance, and future opportunities.
- Advise leadership and internal and external stakeholders on cost-saving strategies and actionable recommendations.
- Collaborate with clinical and customer success teams and lead post-implementation assessments to measure and refine results.
Requirements
- At least 5 years of experience in healthcare analytics, cost containment, or a similar healthcare role, preferably with a payer, provider, or managed care organization.
- Proficiency with data analytics and visualization tools such as SQL, Tableau, Power BI, and advanced Excel.
- Strong understanding of healthcare cost drivers and medical claims data.
- Experience with data cleaning, data analysis, and data-driven problem-solving.
- Ability to transform complex data into actionable insights and clear, concise reports.
Nice to have
- Familiarity with prior authorization and utilization management processes.
- Proficiency in R, Python, Scala, AWS S3, Airflow, Athena, or Spark.
- Experience working with prior authorization and utilization management data.
Culture & Benefits
- Fully remote work with approximately 5% travel and occasional in-person company events.
- Medical, dental, vision, life, disability insurance, and an Employee Assistance Program.
- 401(k) retirement plan with company match, flexible spending account, and health savings account.
- Flexible time off, company holidays, and up to 14 weeks of paid parental leave.
- Pet insurance and a supportive, inclusive, growth-oriented work environment.
Hiring process
- Preliminary phone screening with Talent Acquisition.
- Interview with the hiring manager, followed by a team interview.
- Cross-functional and executive interviews.
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