Lead teams that evaluate the strategic direction of health insurers, including pricing, market entry, network strategy, and cost of care initiatives to drive performance
Develop structured query language (SQL) models to price health plan benefit changes, network changes, or other detailed claims analytics
Review Medicare Advantage and Part D bid submissions for accuracy and consistency
Model lapse and retention rates and prepare results for client review
Build return on investment models for medical management and other health plan initiatives
Prepare incurred but not reported (IBNR) modeling spreadsheets for audit reviews and support project management activities, including work plans, reports, and client presentations A successful candidate would possess these skills:
Ability to work independently and collaborate as part of a team
Effective written and verbal communication skills
Meticulous attention to detail and quality of work product
Ability to build and sustain professional relationships
Ability to lead projects or workstreams
Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
Strong interpersonal skills and professional demeanor
Ability to meet deadlines
Ability to provide clear guidance to others The Team Insights, Innovation, and Operate Our Insights, Innovation & Operate Offering is designed to enhance key aspects of our clients' businesses by leveraging cutting-edge technology, data, and.

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