Senior Actuarial Analyst

at  Healthmap Solutions

COMPANY BACKGROUND

Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.

POSITION SUMMARY

The Senior Actuarial Analyst will be responsible for organizing, analyzing, and investigating Healthmap Solutions data.

REQUIREMENTS

• Bachelor’s degree in Actuarial Science, Math, Statistics, Finance, Management information systems or other related focus
• 3 years of experience using Excel (Visualization, Pivot Tables, Summarizing), Database manipulation in SQL (Updates, Joins, Data types), Financial Analysis (Trending vs. Actual), Working with Project Managers and Technical Groups
• Experience and in-depth knowledge of the CMS Hierarchical condition category (HCC) model including calculating individual risk scores based on claim data
• Prior experience with large data
• Prior experience with healthcare data within health plan or vendor environment

SKILLS

• Strong analytical, problem-solving, and business skills
• Strong attention to detail including precise and effective communications and
• Proven ability to manage multiple, competing priorities simultaneously
• Ability to “think out of the box” and develop creative solutions

• Compile and organize healthcare data
• Analyze data, HCC trends, risk score improvement opportunities and the business impact of each to assist in developing optimal care management and decision making
• Use healthcare data to assist in administrative and operational goals
• Investigate data to find patterns and trends
• Utilize different data sources for analysis
• Develop reports and presentations
• Communicate analytics insights to management
• Build Models and analyzing data to unearth trends and patterns
• Delve into data to discover discrepancies and patterns
• Suggest ways to both increase healthcare quality and lower costs
• Collaborate with management and internal teams to implement and evaluate improvements
• Perform other duties as assigned