Director, Actuarial Services
Evolent
Springfield, IL (In Person)
Full-Time
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Job Description
- Your Future Evolves Here
- Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions.
What You'll Be Doing:
- Our Actuarial Team offers candidates the opportunity to support our partners to accelerate and enable their value-based care strategies. We are advocates for creating patient value and demonstrate this by ensuring that our financial arrangements are actuarially sound and sustainable. We value humility, adaptability, intellectual curiosity, and accountability as we solve complex business problems.
Collaboration Opportunities:
- The Director, Actuarial Services utilizes and develops analytical tools to solve complex business challenges, as well as support decision making that can have a considerable impact on the organization and patient health. This role supports both medical cost management activities and business development efforts.
What You Will Be Doing:
- + Analyze claims and authorization data to identify trends, calculate cost of healthcare, and identify medical cost savings opportunities for customers + Perform rigorous actuarial modeling and forecasting to support gainshare and ROI arrangements + Incorporate business expectations for the financial impacts of clinical integration, population management processes, provider contracts, and benefit structures into rates and financial projections + Manage organizational risk through forecasting of financial/statistical data in a manner which is actuarially sound + Ability to lead and work independently with cross-functional teams + Consistently deliver high-quality, error-free deliverables + Manage several projects at varying phases, and ensure projects meet strategic objectives and are managed to timelines + Interact with and coach teams of actuaries and non-actuaries, including support for team engagement and strategy + Present reports and analyses to clients and internal executives + Manage a junior actuarial team member •Qualifications•
Required and Preferred:
- + Bachelor's degree, preferably with a quantitative major (e.g. actuarial science, statistics, mathematics, economics, data science)
- Required.
- + Associate or Fellow of the Society of Actuaries
- Required.
- + 5+ years of experience in a health actuarial setting
- Required.
- + Strong proficiency with Microsoft Excel
- Required.
- + Strong leadership & project management skills
- Required
- . + Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs
- Required.
- + Excellent communication and presentation skills. Must be comfortable presenting complex analyses to internal and external client executives
- Required.
- + Actuarial experience in value-based care or Medicaid
- Preferred.
- + Experience in claims-based healthcare analytics to drive decision making
- Preferred
Technical Requirements:
- We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router.
- Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.
- If you need reasonable accommodation to access the information provided on this website, please contact recruitingteam@evolent.com for further assistance.
- The expected base salary/wage range for this position is $140,000.
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