Actuarial Analyst - Model Team

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Our Mission is to Make Healthcare Right. Together. Built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care, we can deliver a superior consumer experience, lower costs, and optimized clinical outcomes.

What drives our mission? The company values we live and breathe every day. We keep it simple: Be Brave. Be Brilliant. Be Accountable. Be Inclusive. Be Collaborative.

If you share our passion for changing healthcare so all people can live healthy, brighter lives – apply to join our team.


SCOPE OF ROLEThe Actuarial Analyst, Model Team will provide technical support to the Actuarial Services team with a primary focus on actuarial model building and maintenance. Models will be as specifically assigned.ROLE RESPONSIBILITIES

  • Under the leadership and guidance of the Lead or Senior Model Team Consultant, build, document and maintain one or more of the following actuarial models, as assigned: Medical expense and trend analysis and forecasting model; Medicare Advantage Bid (BPT)
  • Development model; Medicare Advantage pricing model; provider risk contract evaluation model; Direct Contracting evaluation model;
  • Direct Contracting Bid model; Medicaid rate evaluation model
  • Provide support for other Government Programs and Provider Risk Actuarial teams during their peak periods

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

  • Bachelor’s degree in Math, Statistics, Economics, Actuarial Science, or a related field required
  • Experience working with health care data and/or model building and maintenance

LICENSURES AND CERTIFICATIONS

  • Associate of the Society of Actuaries is preferred, but not required

PROFESSIONAL COMPETENCIES

  • Proficient in Microsoft Excel and other Office products
  • Experience with forecasting, modeling, SQL and SAS
  • Working knowledge of at least one of the following: medical expense and trend analysis and forecasting, Medicare Advantage program and bids, Direct Contracting programs and bids, healthcare provider risk contract arrangements, Medicaid programs and rate evaluation
  • 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

 

We’re Making Healthcare Right. Together.

We are realizing a completely different healthcare experience where payors, providers, doctors, and patients can all feel connected, aligned and unified on the same team. By eradicating the frictions of competing needs, we are making it possible to give everyone more of what they want and deserve. We do this by:

 

Focusing on Consumers
We understand patient pain points, eliminating complexity while increasing transparency, for greater access and easier navigation.

 

Building on Alignment
We integrate and align individual incentives at all levels, from financing to optimization to delivery of care.

 

Powered by Technology

We employ our purpose built, integrated data platform to connect clinical, financial, and social data, to deliver exceptional outcomes.

 

          

 

As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

 


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Location

We are downtown at 515 Congress Avenue, right in the heart of downtown! Tons of restaurants and close to public transportation.

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