13 дней назад
Principal Actuary (Healthcare Cost Management)
118 691 - 189 906$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Principal Actuary (Healthcare Cost Management): Evaluating the financial performance and value of cost-of-care initiatives across clinical care, pharmacy, networks, payment integrity, and value-based care with an accent on actuarial strategy, cost savings measurement, and financial performance analysis. Focus on building measurement models, identifying risks and opportunities, and presenting actionable recommendations to leadership and external partners.
Location: Remote Flex - North Carolina
Salary: $118,691.00–$189,906.00 annually
Company
is a healthcare organization focused on improving value, quality, access, and care delivery for its customers and community.
What you will do
- Lead complex actuarial and analytical projects, ensuring timely, compliant, and high-quality delivery.
- Evaluate existing and proposed cost-of-care initiatives across clinical care, pharmacy, networks, payment integrity, and value-based care.
- Develop measurement models for cost savings, alternative provider payment arrangements, medical coding, policy adherence, and emerging trend drivers.
- Analyze financial targets and explain results and variances to expectations.
- Advise leadership and internal partners through actionable actuarial recommendations and strategic insights.
- Manage relationships and negotiations with vendors, auditors, regulators, and healthcare providers.
Requirements
- Bachelor’s or advanced degree in a related field.
- ASA designation required; FSA preferred. Exam takers may be considered based on other experience.
- 5+ years of relevant actuarial experience; related experience may be considered.
- Ability to communicate effectively with leaders and stakeholders across the organization.
- Commitment to continuing education and maintenance of actuarial credentials.
Nice to have
- Experience with SQL-based data queries and data management.
- Experience with Power BI or Tableau.
- Experience creating and presenting external, client-facing materials and reports.
Culture & Benefits
- Flexible remote work with autonomy and emphasis on work-life balance.
- Medical, dental, and vision coverage.
- Health and wellness programs, paid time off, and parental leave.
- Adoption and surrogacy assistance.
- Career development programs, tuition reimbursement, and a 401(k) match with an annual company contribution.
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