Actuarial Analyst at Wellbe Senior Medical

, , United States -

Full Time

Start Date

Immediate

Expiry Date

24 Jul, 26

Salary

0.0

Posted On

25 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Actuarial modeling, Financial reporting, Data analysis, Coding, Forecasting, Revenue analysis, Claims analysis, Utilization reporting, Excel, Communication skills, Detail-oriented, Project management, Value-based care, SQL, Data warehouse

Industry

Medical Practices

Description

Job Summary This is a highly unique role at an innovative, fast-growing value-based healthcare company. WellBe began serving its first patients in 2020 and has been growing every year since inception. Because WellBe’s contracts with MA plans are structured as value-based care fullrisk arrangements, our actuarial department is growing as well. As the fifth actuarial employee, you will be tasked with upkeeping the actuarial function. This job has significant long-term growth opportunities. We are looking for an Actuarial Analyst to join our team and support our actuarial functions. In this role, you will be responsible for updating actuarial financial models [DS1.1], eligibility and claims analyses, utilizing WellBe’s IBNR Model, utilization reporting, revenue analysis and forecasting, coding for data processing, and any other ad-hoc analyses. You will work in partnership with Finance, Reporting, Analytics, and IT/Data Management leadership. The ideal candidate will have strong technical skills including coding and model development, analytical skills, experience in healthcare actuarial analysis, and excellent communication skills. Job Description Essential Duties and Responsibilities Technical lead of monthly financial and utilization reporting by leveraging WellBe’s actuarial and financial models Preliminary analysis of data after monthly collection of data is complete from our data team partners Develop reasonable actuarial assumptions to forecast membership, claims, and revenue for annual budget Run queries from WellBe data warehouse to extract summaries feeding financial and utilization reports Produce reconciliation reports to ensure financial results are consistent with data sources Summarize why emerging experience has changed in comparison to expectations Support manager and/or other actuarial analyst in developing actuarial models Compile reports summarizing emerging experience and trends\ Build ad-hoc analyses to assist company leadership in making informed decisions Job Requirements Required Qualifications Educational and Experience Requirements: • Bachelor’s Degree in Actuarial Science, Mathematics, Statistics, or related field• On track to obtain ASA; passed at least 2 actuarial exams• Minimum 1 year of actuarial experience, preferred 2-4 years• Coding experience• Preferred healthcare experience Required Skills and Abilities:• Strong analytical skills, including proficiency in Excel and coding• Excellent communication skills• Detail-oriented with the ability to manage multiple projects and prioritize effectively• Ability to learn and develop skillset needed to work for a value-based care provider Physical and Mental Requirements• Ability to lift up to 20 lbs. • Ability to stand/sit for extended periods • Visual acuity and fine motor skills Work Environment• In-person at Chicago office, with remote work options for eligible employees • Travel locally or nationally up to 10% Sponsorship StatementWellBe does not offer employment-based visa sponsorship for this position. Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future. Pay Transparency StatementCompensation for this position will be disclosed in accordance with applicable state and local pay transparency laws. Drug Screening Requirement As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company’s Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion drug testing. The company reserves the right to test for substances that may impair an employee’s ability to safely and effectively perform their job duties. Background Check StatementEmployment is contingent upon successful completion of a background check, as permitted by law. As a healthcare organization, WellBe conducts monthly FACIS (Fraud and Abuse Control Information System) checks on all employees. Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws and regulations.Equal Employment Opportunity (EEO) StatementWellBe is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected status. Americans with Disabilities ActWellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application, interview or employment process, please contact Human Resources at HRPeopleLine@wellbe.com At-Will Employment StatementEmployment with WellBe is at-will unless otherwise specified by contract. This job description does not constitute an employment contract. DisclaimerThis job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.

Responsibilities

The Actuarial Analyst will maintain actuarial financial models, perform eligibility and claims analyses, and support utilization reporting. They will also collaborate with Finance, Analytics, and IT teams to provide ad-hoc analyses and forecasts for company leadership.