Director - Actuary

September 20

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Description

• Analyze large quantities of healthcare claims and data to assess patterns and risks across multiple indicators, including medical costs, utilization patterns by modality, and intra-year trends across comparable populations • Develop financial projections and forecasts (including creating/utilizing medical claim expense reserve and incurred but not reported analyses) in addition to retrospective analyses, across multiple member groups supported • Work closely with Business Development and Customer Success, including informing contract structures and terms, monitoring and projecting performance for existing and future risk-sharing arrangements, and estimating required capitation funding and prospective operations / risk targets • Develop clear viewpoints on recommended or required courses of action informed by your analyses • Work closely with leaders across the organization, including Finance/Accounting, Clinical, Operations, Strategy, Legal, and Data • Serve as the bridge between the Company’s operational performance against contractual targets and internal goals and financial reconciliation • Shape the future of firsthand’s Finance, Accounting, and Actuary teams by developing and implementing best-in-class systems and processes • Stay up-to-date with changes in laws, regulations, and industry standards that impact our organization in addition to assessing and providing recommendations in how to mitigate risks and leverage opportunities

Requirements

• 3+ years experience at a managed care organization or risk-based healthcare service provider • Based in Eastern or Central timezones