Duly Health and Care · 4 hours ago
Staff Actuary- Value Based Care
Downers Grove, IL
Full-time
Onsite
Senior Level, Lead/Staff
$92K/yr - $138K/yr
5+ years expDuly Health and Care is a large risk-based multi-specialty value-based care organization seeking a Staff Actuary to manage the monthly incurred but not reported (IBNR) healthcare claims process. The role involves creating IBNR estimates, supporting financial audits, and performing medical expense projections while serving as a subject matter expert in actuarial processes.
Health CarePersonal HealthWellness
Hiring Manager
Felicia LaMountain
Responsibilities
Create the monthly claim triangles, populate the IBNR models, and produce the IBNR estimates, working closely with accounting, finance, and operational leaders. Communicate results and supporting information to internal audiences including Finance, Accounting, and Value Based Care executives and team members. Maintain the IBNR models. Research issues and trends and keep leaders informed of findings. Update related monthly reports. Act as key contributor and subject matter expert during budget and forecast cycles. Interact with payor contacts and third-party actuaries as appropriate. (70%)
Support the annual financial statement audit. Prepare lookback analyses and other information as requested by the auditor. Meet with the auditor as needed to answer questions. (5%)
Perform medical expense projections and evaluate against payor contracts. (10%)
Perform ad hoc analyses as requested by management. Independently surface insights and recommendations that help improve the accuracy of IBNR models and/or value-based care operations. (15%)
Qualification
Required
Associate of the Society of Actuaries (ASA)
Member of the American Academy of Actuaries (MAAA)
BS or BA
Actuarial Science, Mathematics, Statistics, Economics, or a related area
Minimum of five years of US healthcare actuarial work experience in managed care or closely related field, with at least 2 years estimating IBNR claims
Experience supporting the monthly IBNR process (preferably 3+ years)
Experience developing and maintaining complicated EXCEL/VBA models and presenting results (preferably 7+ years)
Knowledge of IBNR methodologies and concepts
Strong understanding of the US healthcare system
Ability to work effectively with other team members, auditors, payor contacts, and third-party actuaries
Ability to communicate complex concepts to technical and non-technical audiences
Understanding of financial statements
Understanding of relational databases
Understanding of medical and pharmacy trends
Understanding of medical claims coding and categorization
Advanced knowledge of Excel
Knowledge of SQL/Databricks
Ability to identify and drill down into causes of changes in medical expenses
Preferred
Ability to write and edit VBA macros preferred
Benefits
Additional compensation may be available through shift differentials, bonuses, and other incentives.
Base pay is only a portion of the total rewards package.
Company
Duly Health and Care
Duly Health and Care is a Midwest-based independent, multi-specialty physician-directed medical group.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Daniel Greenleaf
Chief Executive Officer
Abigail Kleber
Talent Access Partner
Recent News
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