Actuarial Analyst
Actuarial Analyst
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Salary Not Disclosed
1 Vacancy
Job Description
Actuarial and Financial Modeling:
- Develop and maintain actuarial and financial models to support business needs and strategic goals.
- Design and develop financial models to quantify the impact of proposed costsaving initiatives and forecast potential outcomes.
- Assist in enhancing actuarial models and ensuring accurate validation of data and results using inhouse models or actuarial software.
Advanced Data Analysis:
- Conduct advanced data analysis to assess claims trends approval and denial patterns and cost drivers.
- Focus on minimizing waste and controlling costs through detailed analysis of financial data.
- Identify trends patterns and anomalies using statistical and data visualization tools to provide actionable insights.
Risk and Opportunity Assessment:
- Assess and analyze financial risks and opportunities by applying actuarial methods and conducting actuarial analyses.
- Stay current with actuarial research industry standards assumptions competition and the legal and regulatory environment to inform decisionmaking.
- PostImplementation Assessments:
- Support postimplementation assessments to evaluate the effectiveness and impact of costsaving initiatives.
- Ensure continuous improvement and longterm sustainability of implemented costsaving strategies.
Collaboration and Influence:
- Collaborate proactively with stakeholders including leadership clinical teams and customer success teams to understand business needs and challenges.
- Translate complex actuarial concepts into clear nontechnical recommendations for business partners and stakeholders.
- Act as a trusted advisor by providing expert guidance and strategic insights to influence decisionmaking and ensure alignment with business goals.
CostSaving Initiatives:
- Support costsaving projects by providing analysis and recommendations based on actuarial models and financial forecasting.
- Develop and present executivelevel reports and presentations summarizing costsaving achievements and project performance.
- Identify and implement innovative approaches including new technologies data analysis tools and process improvements to optimize cost savings.
Reporting and Strategic Recommendations:
Prepare and present detailed reports and strategic recommendations to leadership and stakeholders on financial outcomes and performance metrics.
Qualifications :
Requirements and Qualifications:
- 2 years of experience in healthcare analytics cost containment or similar roles in the healthcare industry preferably within a payer provider or managed care setting.
- Bachelors degree in Actuarial Science Mathematics Statistics Finance Economics or related field Required. ASA (Associate of the Society of Actuaries) or actively working towards it. Minimum of three Society of Actuaries (SOA) actuarial exams passed.
- Familiarity with Pharmacy benefits health care prior authorization utilization management processes is highly desirable.
- Strong understanding of healthcare cost drivers claims data and prior authorization processes. Strong data interpretation statistical analysis and problemsolving skills
- Ability to transform complex data into actionable insights and clear concise reports.
- Proficiency in data analytics and visualization tools such as SQL Tableau Power BI and advanced Excel.
- Strong interest and understanding of prior authorization data claims and SDOH data
- Proficient in R SQL Python Scala AWS (S3 Airflow Athena Spark)
- Excellent interpersonal skills to work with end users to develop QC metrics
- Passionate about improving the U.S. healthcare system and helping ensure every patient receives the best care possible.
- Selfstarter able to work independently able to succeed in a fastpaced highintensity environment
Additional Information :
Additional Information:
- Base Salary: $85$115K/year
- Remote position
- Annual bonus eligible
- Comprehensive Benefits Package:
- Medical Pharmacy Dental Vision
- Life Insurance
- Stock Options
- 401(k) with Company Match
- PTO
- Fulltime position
- Dynamic collaborative work environment
- Opportunity to make real impact at a growing Public Benefit Corporation
VIVIO Health is an Equal Opportunity Employer. All information will be kept confidential according to EEO guidelines.
Please be advised that job opportunities will only be extended after a candidate submits a completed job application and goes through our interview process including 1:1 and/or group interviews via phone video conferencing and/or inperson. All legitimate correspondence from a VIVIO employee will come from our Smart Recruiter Applicant Tracking System @smartrecruiter or @viviohealth email accounts.
Remote Work :
Yes
Employment Type :
Fulltime
Employment Type
Remote
Company Industry
Department / Functional Area
Operations
Key Skills
- SQL
- Python
- Compliance
- Access
- Actuarial Models
- Acturial support
- Data Collection
- Powerpiont
- SAP
- Tableau
- Excel
- Mathematics
- VBA
- Data Analysis
- Statistical Analysis
