Senior Actuary

  • 38935
  • Life - Actuarial
  • |
  • Colorado, United States
  • |
  • Jan 22, 2021
  • Provider and payor shared savings and risk support (strategic and financial)
  • Provider contract analysis
  • Alternative payment model evaluation and implementation
  • Evaluation of CMMI models• Provider-sponsored health plan support
  • Population health analysis to identify high risk members for intervention and transition of risk
  • Risk stratification of population by risk scores, chronic conditions medical expenses, etc.
  • Support healthcare providers with transition from fee for service to value based payment
  • Benchmarking, target development, reconciliation, and financial reporting for risk-bearing providers
  • MACRA analysis
  • External promotion including webinars, conferences, and white papers
  • 4+ years of experience working with payors and providers
  • Proficiency with Excel, Access, Word and PowerPoint
  • SQL and SAS database skills
  • Bachelor’s degree in actuarial science or similar field
  • Credentialed ASA, FSA preferred
  • Strong communication skills
  • Ability to develop junior staff
  • 5 - 7 years of extensive interaction with ACO’s (including those participating in MSSP, Next Gen, or other CMS/CMMI programs), prospective DCEs, health systems, IPAs, CINs, multi-specialty groups, etc.
  • Business and organizational development skills
  • Client management experience