Actuary

April 6

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VIVIO, a Public Benefit Corporation

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VIVIO is a Public Benefit Corporation specializing in drug management solutions. The company utilizes data intelligence to provide personalized drug therapies, leveraging clinical trial data and market prices to ensure patients receive the right medication at the right price without unnecessary middlemen or markups. VIVIO offers an alternative to traditional Pharmacy Benefit Manager (PBM) models by providing a transparent and cost-effective approach to drug pricing and management. Their services focus on reducing prescription costs while improving outcomes and maintaining compliance, specifically targeting specialty drugs and broader drug management needs for organizations.

Better Specialty Drug Outcomes • Lower Specialty Drug Costs • Drug Outcomes

51 - 200 employees

⚕️ Healthcare Insurance

💊 Pharmaceuticals

☁️ SaaS

📋 Description

• Develop and maintain actuarial and financial models to support business needs and strategic goals • Design and develop financial models to quantify the impact of proposed cost-saving initiatives and forecast potential outcomes • Assist in enhancing actuarial models and ensuring accurate validation of data and results using in-house models or actuarial software • Conduct advanced data analysis to assess claims trends, approval and denial patterns, and cost drivers • Focus on minimizing waste and controlling costs through detailed analysis of financial data • Identify trends, patterns, and anomalies using statistical and data visualization tools to provide actionable insights • Assess and analyze financial risks and opportunities by applying actuarial methods and conducting actuarial analyses • Stay current with actuarial research, industry standards, assumptions, competition, and the legal and regulatory environment to inform decision-making • Support post-implementation assessments to evaluate the effectiveness and impact of cost-saving initiatives • Ensure continuous improvement and long-term sustainability of implemented cost-saving strategies • Collaborate proactively with stakeholders, including leadership, clinical teams, and customer success teams, to understand business needs and challenges • Translate complex actuarial concepts into clear, non-technical recommendations for business partners and stakeholders • Act as a trusted advisor by providing expert guidance and strategic insights to influence decision-making and ensure alignment with business goals • Support cost-saving projects by providing analysis and recommendations based on actuarial models and financial forecasting • Develop and present executive-level reports and presentations summarizing cost-saving achievements and project performance • Identify and implement innovative approaches, including new technologies, data analysis tools, and process improvements, to optimize cost savings • Prepare and present detailed reports and strategic recommendations to leadership and stakeholders on financial outcomes and performance metrics

🎯 Requirements

• 2+ years of experience in healthcare analytics, cost containment, or similar roles in the healthcare industry • A bachelor's degree and ASA (Associate of the Society of Actuaries) are required • Familiarity with prior authorization, utilization management processes is highly desirable • Strong understanding of healthcare cost drivers claims data, and prior authorization processes • Strong data interpretation, statistical analysis and problem-solving skills • Ability to transform complex data into actionable insights and clear, concise reports • Proficiency in data analytics and visualization tools, such as SQL, Tableau, Power BI, and advanced Excel • Strong interest and understanding of prior authorization data, claims and SDOH data • Proficient in R, SQL, Python, Scala, AWS (S3, Airflow, Athena, Spark) • Excellent interpersonal skills to work with end users to develop QC metrics • Passionate about improving the U.S. healthcare system and helping ensure every patient receives the best care possible • Self-starter, able to work independently, able to succeed in a fast-paced, high-intensity environment

🏖️ Benefits

• Medical, Pharmacy, Dental, Vision • Life Insurance • Stock Options • 401(k) with Company Match • PTO