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Actuarial Analyst

3 months ago

Shaker Heights, United States University Hospitals Full time
Hybrid Role; In office 2 days a week

Position Summary

Responsible for receiving, informing, and executing projects that entail the entire scope of the data science and actuarial pipeline which include, but are not limited to: integrating disparate and centralized data into data marts, developing statistical models, designing and automating report distribution while continuously presenting and re-assessing results in support of UH Population Health and Operational Effectiveness initiatives. This position will both lead and support interdisciplinary collaboration to identify opportunities and deploy adaptive analytic strategies to provide measurable improvements in value-based reimbursements for care delivered by University Hospitals to current and future patient populations.

Essential Functions
  • Lead the discovery and requirements gathering process with key clinical and business stakeholders to inform analytic plans.
  • Collaboratively co-create the discovery, design, development, deployment, optimization, and maintenance of advanced analytics and data science techniques to enrich disparate datasets to craft data-driven interventions aimed at achieving the Quadruple Aim.
  • Research, design, develop and implement predictive models, and advanced analytics to support value-based contracting and population health improvement.
  • Visualize data in creative ways that brings data and insights to life and is consumable in the business and operational workflow of end-users.
  • Creatively utilize diverse data sources, such as electronic health record data, insurance claims data, scheduling and financial data, social determinants of health data and any other relevant sources that help support UH Clinical Transformation and Operational Effectiveness.
  • Assess the effectiveness and accuracy of new data sources and data gathering techniques.
  • Evaluate business performance and dynamically monitor critical operational measures related to shared savings arrangements and other value-based programs with governmental and commercial payors.
  • Maintain actuarial standards of practice and progress towards actuarial credentials.

Required For All Jobs
  • Performs other duties as assigned.
  • Complies with all policies and standards.
  • For specific duties and responsibilities, refer to documentation provided by the department during orientation.
  • Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.


Qualifications:
Qualifications

Education
  • Bachelor's Degree in Actuarial Science, Math, Statistics, Computer Science, Economics, or related Quantitative discipline Required

Work Experience
  • 2+ years Working with complex analytic situations, health insurance, or health claims data Required

Knowledge, Skills, & Abilities
  • Proficiency with SQL/complex SQL queries Required
  • Experience with at least 1 advanced programming method (e.g. Python, R, etc.) Required
  • Ability to work independently and use creative approaches to problem-solving but know when to seek help from other team members Required
  • Optimistic, self-directed performer capable of complex decision making and communication Required
  • Capable of turning questions into testable hypotheses, extracting data from complex databases, creating and evaluating statistical models Required
  • Capable of gathering and validating requirements, articulating the pros and cons of different analytic approaches, estimating timelines for completion of work, and predicting potential challenges to producing accurate time estimates and analytic plans. Required
  • Working knowledge of emerging technology platforms Required
  • Advanced proficiency in Excel, Word, and PowerPoint Required
  • Successful progress towards Associate of the Society of Actuaries (ASA) designation. Required
  • Experience with healthcare claims data (e.g. Hospital/Health System, Payor, or Consultant) Required
  • Experience in data visualization and ability to communicate results to a non-technical audience Required
  • Experience being part of strategic projects with high visibility and impact with many internal and external teams involved Preferred
  • Experience providing insights to executive stakeholders Preferred
  • Strong understanding and experience in researching and resolving data issues with a logical, instinctive mentality working with large, complex and incomplete sources Preferred
  • Ideal candidate will have passed 3 or more actuarial exams, Strongly Preferred

Physical Demands
  • Standing Occasionally
  • Walking Occasionally
  • Sitting Constantly
  • Lifting Rarely 20 lbs
  • Carrying Rarely 20 lbs
  • Pushing Rarely 20 lbs
  • Pulling Rarely 20 lbs
  • Climbing Rarely 20 lbs
  • Balancing Rarely
  • Stooping Rarely
  • Kneeling Rarely
  • Crouching Rarely
  • Crawling Rarely
  • Reaching Rarely
  • Handling Occasionally
  • Grasping Occasionally
  • Feeling Rarely
  • Talking Constantly
  • Hearing Constantly
  • Repetitive Motions Frequently
  • Eye/Hand/Foot Coordination Frequently