Evolent
Evolent is a healthcare company focused on improving care outcomes through its comprehensive management solutions across multiple medical specialties. They aim to enhance the patient care journey by offering coordinated services in areas like oncology, cardiology, musculoskeletal disorders, and primary care, while ensuring high-quality treatment pathways and cost management. Evolent believes every person deserves quality care, striving to align treatment guidelines and innovative approaches to meet patient needs effectively.
Population Health • Value-Based Care • Care Management • Accountable Care Organizations • Managed Care
Director, Actuarial Services
April 19
Evolent
Evolent is a healthcare company focused on improving care outcomes through its comprehensive management solutions across multiple medical specialties. They aim to enhance the patient care journey by offering coordinated services in areas like oncology, cardiology, musculoskeletal disorders, and primary care, while ensuring high-quality treatment pathways and cost management. Evolent believes every person deserves quality care, striving to align treatment guidelines and innovative approaches to meet patient needs effectively.
Population Health • Value-Based Care • Care Management • Accountable Care Organizations • Managed Care
📋 Description
• 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 gain/share 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 in a fast-paced environment • 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
🎯 Requirements
• Bachelor’s degree, preferably with a quantitative major (e.g. actuarial science, statistics, mathematics, economics, data science) • Associate or Fellow of the Society of Actuaries • 5+ years of experience in a health actuarial setting • Strong proficiency with Microsoft Excel • Demonstrated leadership abilities by managing and mentoring employees, while fostering a collaborative and high-performing work environment • Ability to communicate clearly with diverse stakeholders to solve problems, and ability to translate between business needs and analytical needs • Exceptionally strong analytical abilities, with track record of identifying insights from quantitative and qualitative data • Actuarial experience in value-based care across payers (Commercial, Medicaid, Medicare Advantage) is not essential, however strongly preferred. • Proficiency with query languages such as SQL or SAS is strongly preferred. • Experience in claims-based healthcare analytics to drive decision making is preferred.
🏖️ Benefits
• Comprehensive benefits including health insurance benefits
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