Compare your current skills to what this opportunity needs—we'll show you what you already have and what could strengthen your application.
Job Description
We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. The Actuarial Services Analyst is responsible for managing and tracking the risk positions within ChenMed as well as supporting the strategic goals of the company. Performs technical and analytical support functions to help the department and the company meets its goals. Works with different departments within ChenMed to provide analytics supported by actuarial modeling. In alignment with our Finance vision, this position will support the transformation of care for the neediest populations by being committed to business focused self-development, through the generation and use of information to support business leadership in driving great decisions, optimizing performance and ensuring accountability through transparency, actionable insights and education.
ESSENTIAL JOB DUTIES/RESPONSIBILITIES
Applies knowledge of mathematics, probability, statistics, and principles of business to enhance the IBNR (Incurred But Not Reported) models and improve the monthly close process. Works with a team of financial analysts to assist with the actuarial components of the annual financial plan. Assists in the determination of revenue, reserves and/or cash flow projections. Identifies data patterns and trends, and provides insights to enhance business decision making capability in business planning, process improvement, solution assessment, etc. Analyzes and validates payer claims data. Assists markets to identify factors driving claims cost and estimates historical and prospective trends. Performs actuarial analysis of CMS public information. Calculates statistical and probability forecasts and models from data. Runs CMS risk adjustment model to calculate member level risk scores. Provides actuarial support to markets; creates and distributes reports; responds to inquiries. Assists in actuarial research, experience studies, and statistical analyses and calculations. Reviews accuracy of data and calculations. Reports and interprets results of data analysis. Analyzes risk evaluation data, using appropriate models and statistical methods; creates relevant charts and graphs. Performs other duties as assigned and modified at manager's discretion.
KNOWLEDGE, SKILLS AND ABILITIES
Software skills in Visual Basic, SQL and SAS Good analytical and communication skills Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint, Outlook, and database software Ability and willingness to travel locally, regionally, and nationwide up to 10 % of the time Spoken and written fluency in English This job requires use and exercise of independent judgment
EDUCATION AND EXPERIENCE CRITERIA
Bachelor's degree; Completion of 2+ actuarial exams; on track to ASA/FSA designation. Experience may substitute for education on a year-for-year basis above the minimum required Bachelor's degree in actuarial science, mathematics, economics, statistics, data science or finance preferred No prior experience required Data science experience preferred
PAY RANGE
$64,583 - $92,262 Salary The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.
EMPLOYEE BENEFITS
https://chenmed.makeityoursource.com/helpful-documents We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day. Current employees, if you want to apply to our internal career site, please click HERE Current Contingent Worker please see job aid HERE to apply #LI-Onsite Who We Are ChenMed is a family-owned, family-oriented organization committed to bringing superior health care to moderate-to-low-income seniors. Our vision To positively change American healthcare through primary care innovation for the neediest populations. Our mission To provide a convenient, patient-centered environment that fosters enduring relationships between doctors, staff and patients and delivers superior outcomes and a compassionate experience. We will create a healthcare system specifically for our patients' needs through dedicated doctors, a supportive team, and customized technology, and achieve value through scalable innovation, resourcefulness andaccountability. Our patient promise You are the reason we are here. Your coordinated healthcare and well-being is our focus. Like a member of our family, we will take care of you in good times and in times of need.
