“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.

The Actuarial Analyst, Provider Risk will provide technical support to the Provider Risk Actuarial team on project work, modeling, and Direct Contracting bids to CMMI. Additional cross-functional support role working with Line of Business, Analytics, Finance, Marketing and other areas of the company that may need data summarization, modeling framework or research help.

ROLE RESPONSIBILITIES

• Support the Government Programs & Provider Risk Actuarial Models team’s development of actuarial models to be used for medical expense and trend analysis and forecasting, provider risk contract evaluation, and Direct Contract (DC) bid development
• Perform first pass (to be developed) quarterly medical expense analysis and forecasting process for review and modification by senior Provider Risk actuaries
• Document and draft summary review memos in support of the (to be developed) quarterly medical expense analysis and forecasting process in coordination with senior Provider Risk actuaries in preparation for, and as follow up to, collaboration with various NeueHealth, owned clinics and Bright SMEs and leaders
• Support the evaluation of financial implications of provider participation in networks for DC opportunities
• Support provider risk contract evaluations and DC bids, interfacing with internal Bright team and external consulting actuaries.
• Support Finance team in the development of forecasting models, projections and relevant information to inform C-Level business decisions
• Support the development of contract analysis assumptions to inform contract evaluation decisions and plan benefit development and provide guidance to the NeueHealth and owned clinics teams
• Perform ad-hoc data analysis using Excel, SAS, SQL and Tableau

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 provider contract modeling work is preferred

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 healthcare Direct Contracting Bid process
• 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

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!