Responsibilities:
- Actuarial Analysis: Conduct complex actuarial analyses on the cost of healthcare, including industry trend forecasting and Total Cost of Care (TCOC) impact calculations.
- Methodology Support: Own and maintain the execution of savings and ROI methodologies for one or more product lines, assessing the need for updates and creating parameter estimates for change.
- Subject Matter Expertise: Serve as a subject matter expert on medical/Rx claims data, eligibility structures, and the underlying drivers of healthcare costs.
- Insight Generation: Research and analyze the specific drivers of increased or decreased savings for particular clients or products, translating the data into actionable recommendations.
- Scaling & Automation: Drive report automation and dashboarding projects (e.g., using Looker or Tableau) to scale insight generation and enable other internal teams to self-serve key metrics.
- Code Governance: Write clean, efficient code and participate in team peer reviews with a critical eye and high attention to detail to ensure technical accuracy.
- Documentation & Alignment: Document and maintain savings and ROI methodologies clearly and succinctly for the purpose of client communication, peer knowledge sharing, and future reference.
Qualifications:
- Experience: Minimum of 5 years of related experience in healthcare economics, actuarial science, or quantitative financial analysis.
- Education: Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Economics, or a related quantitative field.
- Actuarial Progress: Completion of at least 1 actuarial exam in pursuit of the ASA or other equivalent designation is preferred.
- Technical Skills: Expert proficiency in SQL and Excel/Google Sheets. Competency or proficiency with Python for data analysis and automation is highly preferred.
- Data Knowledge: Hands-on experience working with various types of raw data, including medical/Rx claims, eligibility data, and product engagement data.
- Tools: Familiarity with business tools such as Looker, Tableau, GitHub, Jira, and Confluence.