Actuarial Analyst, Consultant

Your Role

The Network and Trend Analytics team drives the development of an affordable provider network through data analytics and expertise. The Actuarial Analyst, Consultant will report to the Senior Manager. In this role, you will lead and perform financial analyses and modeling for provider contracting support including term changes, renewals, network changes, and terminations for physician groups, hospitals, ambulatory surgery centers, and other types of providers.

Your Knowledge and Experience

• Requires a bachelor's degree with at least a minor in mathematics, statistics, computer science or equivalent business experience

• Requires at least 6 years of professional actuarial experience

• Requires at least 5 years of experience in analyzing healthcare claims data, trends, and forecasting in a managed care setting

• Requires critical thinking and analytical abilities, including interpreting business requirements and developing analytical methods

• Requires proficiency in Excel and comfort working with large data sets

• Requires current working knowledge of SQL and/or SAS

• Experience with financial analysis of provider contracts and common reimbursement methodologies is preferred