“Making Healthcare Right. Together.” is the cornerstone of all we do. Our vision is through powerful relationships with Care Partners, we help all people live healthy and brighter lives. To successfully achieve our mission and vision as we operate in a dynamic health care environment, we expect Bright employees to embody and uphold our core values in work and interactions, both internal and external: be brave, be brilliant, be accountable, be inclusive, and be collaborative.

ABOUT THE ROLE

The Lead Actuarial Consultant – Model Team (MT) will have a lead role in actuarial model building and maintenance in support of Government Programs (Medicare and Medicaid) Lines of Business and Provider Risk support (GPPR).

YOUR RESPONSIBILITIES

• Primary support in the design, building and maintenance of a provider risk contract evaluation model in collaboration with, and for use by, the Provider Risk Actuarial team
• Primary support in the design, building and maintenance of a Direct Contracting evaluation model in collaboration with, and for use by, the Provider Risk Actuarial team
• Primary support in the design, building and maintenance of a Direct Contracting Bid model in collaboration with, and for use by, the Provider Risk Actuarial team
• Primary support in the design, building and maintenance of a Medicaid rate evaluation model in collaboration with, and for use by, the Medicaid Actuarial team
• Manage and mentor Analysts to achieve work deliverables and ensure their development relative to team growth goals
• Provide support for other GPPR teams during their peak periods

SUPERVISORY RESPONSIBILITIES

• This position will have supervisory responsibilities for Analysts

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

• A Bachelor’s degree in Math, Statistics, Economics, Actuarial Science, or a related field is required
• Seven (7) or more years of experience working as a health care actuary, with a minimum of 2 working with CMMI programs (MSSP, NexGen ACO, Direct Contracting) and evaluating provider contracting risk arrangements is required
• Familiarity with Medicaid programs
• Associate of the Society of Actuaries is preferred
• Understanding of healthcare claims data and model design and building

PROFESSIONAL COMPETENCIES

• Proficient in Microsoft Excel and other Office products
• Strong actuarial model building skills
• Proficiency with SQL, SAS, and other like software tools
• Strong knowledge of healthcare pricing, provider risk contracting, and CMMI programs
• Produce, understand, and interpret internal and external analyses and reports; provide effective technical and non-technical support to internal and external stakeholders
• Strong communication and collaboration skills
• Moderate management and leadership skills

LICENSURES AND CERTIFICATIONS

• Associate of the Society of Actuaries, preferred

ABOUT US

At Bright Health, we brought together the brightest minds from the health care industry and consumer technology, and together we created Bright Health: a new, brighter approach to healthcare, built for individuals. Our plans are easy to manage, personalized, and more affordable, giving people the quality care they deserve. Through our exclusive care partnerships with leading health systems in local communities, we are reshaping how people and physicians achieve better health together.

We’re Making Healthcare Right. Together. 

We've won some fun awards like Modern Healthcare and Forbes, etc. But more than anything, we're a group of people who are really dedicated to our mission in healthcare. Come join our team!

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.

BRIGHT ON!