Assistant Actuary II

4 weeks ago


Philadelphia, Pennsylvania, United States Independence Blue Cross Full time
Bring your passion for excellence, collaboration, and dedication to Independence. Come onboard as we revitalize and reimagine the future of healthcare. Together, we will work towards our goal of enhancing the health and well-being of the individuals and communities we serve.

At Independence, every individual is respected, supported, and encouraged to express themselves freely. Our dedication to fairness ensures that all team members have an equal opportunity to realize their full potential. We actively uphold these values by consistently demonstrating integrity and respect. United, we advocate against injustice and strive to eliminate obstacles, fostering a workplace that is inclusive and fair. By embracing the diverse range of perspectives within our workforce, we cultivate a more dynamic, inventive, and effective company that can better serve our communities.

Position Overview: We are in search of a committed Actuary to join our Actuarial Services team, specializing in Health Value Optimization. This position entails conducting thorough analyses and providing support for vendor contracts, ensuring their alignment with our health value optimization objectives. The ideal candidate will have a pivotal role in shaping how these contracts contribute to the overall value and efficiency of healthcare delivery.

Primary Responsibilities:
  • Assess and scrutinize vendor contracts, focusing on Health Value Optimization, financial ramifications, and risk evaluation.
  • Utilize advanced actuarial methodologies to predict and model the influence of vendor contracts on healthcare expenses and quality.
  • Work closely with Provider Contracting, Vendor Management, and Clinical Care Innovation teams to guarantee that contracts align with value-based care goals.
  • Lead the evaluation of vendor propositions through a health value optimization lens, ensuring they are in line with the company's strategic objectives.
  • Contribute to the creation and enhancement of value-based and pay-for-performance models within vendor contracts.
  • Offer actuarial insight during negotiations to enhance health value and cost efficiency of vendor agreements.
  • Ensure adherence to applicable regulations and standards, especially those pertaining to value-based healthcare.
  • Effectively communicate intricate actuarial analyses and strategies to both internal and external stakeholders.
Requirements:
  • Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field.
  • Fellow or Associate of the Society of Actuaries (SOA) or an equivalent professional organization.
  • Demonstrated background in health insurance or a related sector, focusing on health value optimization.
  • Solid comprehension of healthcare economics, value-based care, and vendor contract frameworks.
  • Proficiency in actuarial software and tools (e.g., SAS, SQL, R) and their application in health value analysis.
  • Outstanding analytical, negotiation, and communication capabilities, with the skill to articulate the value of complex actuarial strategies.
Equal Opportunity Employer

Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified candidates will be considered for employment without discrimination based on age, race, color, religion, gender, national origin, sexual orientation, veteran status, or disability.
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