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Interwell Health · 1 day ago

Senior Associate, Actuarial Services

United States

Full-time

Remote

Senior Level

5+ years exp

Interwell Health is a kidney care management company dedicated to reimagining healthcare. The Senior Associate, Actuarial is responsible for analyzing and monitoring data, developing medical economics models, and collaborating with internal departments to support business initiatives.

Health CareMedicalWellness

Growth Opportunities

Responsibilities

Performs assigned actuarial analysis tasks in support of pricing, reserving, provider contract development, and product development. This includes utilizing actuarial systems and programming skills to access and organize the data, performing the applicable actuarial calculations, analyzing moderate to complex information, assessing the reasonability of results and drawing conclusions, updating exhibits and slides, and completing documentation

Assist in the development of pricing methodologies, analysis of the plan's risk pool and identification of trends in IWH's cost structure

Prepare presentations for review by management, board of directors, and diverse governing bodies by providing diverse financial data

Development of revenue and medical claims expense models for evaluating and projecting risk-based contracts with health plan clients, ACOs, and government partners

Drive decision-making around proposed contract changes and financial evaluation of specific contract terms

Acts as a subject matter expert in medical economics in relation to Medicare and Managed Care

Ensures data integrity is maintained throughout the reporting lifecycle

Collaborate with Finance and other internal departments, including clinical, to analyze the financial value of vendor contracts

Qualification

SQLActuarial analysisMedical economicsData analysisPresentation skillsHealthcare industry experienceInterpersonal skillsCommunication skillsTeam leadership