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Senior Actuarial Analyst

2 months ago

Shaker Heights OH United States My3Tech Full time

Role: IT Actuarial Analyst

Location: Shaker Heights, OH – Hybrid (2 days onsite)


Job Description: Please see attached.


Tech Stack:

  • 2+ years of working with complex analytic situations, health insurance, or health claims data
  • Experience in healthcare claims data
  • At least 1 advanced programming language – Python, R, etc
  • Bachelor’s degree in actuarial science, Math, Statistics, Computer Science, Economics, or a related Quantitative discipline
  • Must pass at least 2 of the Associate of the Society of Actuaries exams

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. 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 to current and future patient populations. What You Will Do • 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 bring 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 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. Additional Responsibilities • Performs other duties as assigned. • Compliance with all policies and standards. 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) • Proficiency with SQL/complex SQL queries (Required proficiency) • Experience with at least 1 advanced programming method (e.g. Python, R, etc.) (Required proficiency) • Ability to work independently and use creative approaches to problem-solving but know when to seek help from other team members (Required proficiency) • Optimistic, self-directed performer capable of complex decision-making and communication (Required proficiency