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Providence Health & Services Senior Actuarial Analyst *Telecommute* in California

Description:

Providence St. Joseph Health is calling a Senior Actuarial Analyst to work remotely within our footprint states: AK, CA, MT, OR, TX and/or WA.

We are seeking a Senior Actuarial Analyst who will lead and/or assist in developing, operationalizing, and maintaining financial models and analyses for tracking, reporting, and improving the performance of value-based care (VBC) and risk arrangements at the contract level, at the portfolio level, and at the regional/service area level. Sr. Actuarial Analyst assists with decision support for the VBC, Population Health Informatics team, and Medicare VBC team, including financial and comparative analyses and data requests to support PSJH participation in various alternative payment models (APMs) with CMS and private health plans, assuring long-term growth of Value Based Care within Providence St. Joseph Health (PSJH). Under the direction of the Actuarial Manager, the Sr. Actuarial Analyst is responsible for accurately capturing, recognizing, and allocating PSJH VBC expected and earned incentives, as well as modeling the impact of utilization and population risk changes on the performance of VBC contracts.

In this position you will have the following responsibilities:

  • Under the guidance of the Actuarial Manager, builds, performs, and maintains financial models and analyses for tracking, reporting, and improving the performance of value-based care (VBC) and risk arrangements at the contract level, at the portfolio level, and at the regional/service area level.

  • Assists with financial analysis including performing complex reconciliations for VBC and risk arrangements. Models financial impacts of changes in risk adjustment, utilization management, and arrangement structure.

  • Conducts gap analysis and data validation, identifying possible issues in data submission and determining financial impact.

  • Supports VBC contracting efforts by calculating impact of changes to contract parameters and by developing new contract structures.

Qualifications:

Required qualifications for this position include:

  • Bachelor's Degree in Statistics, Computer Science, Mathematics, Social Science, Finance, or a related field.

  • 5 years Healthcare analytics experience;

  • Experience with writing queries in SQL or another programming language

  • Demonstrated experience applying project management skills in data-related and financial analysis projects.

  • Ability to analyze and interpret financial data

  • Proficient in English written and verbal communication skills

Preferred qualifications for this position include:

  • Master's Degree in Statistics, Computer Science, Mathematics, Social Science, Finance, or a related field.

  • Coursework/Training Successful completion of 4 exams of the Associate of the Society of Actuaries (ASA) designation.

  • Fellow or Associate in the Society of Actuaries (FSA or ASA) preferred

  • Experience with Commercial, Medicare, and Medicaid revenue methodologies.

  • Experience with APMs and Value-Based Care contracts.

About the department you will serve.

Providence Shared Services provides a variety of functional and system support services for our Providence family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Analytics/Business Intelligence

Location: Washington-Renton

Other Location(s): Montana, California, Washington, Oregon, Texas, Alaska

Req ID: 322016

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