Actuarial Manager Value-Based Contracts

Kalos Consulting, Inc.

Job Description
Job Description
Company Highlights
This top ranked Healthcare Company was awarded the #2 “Best Places to Work for Women & Diverse Manager” by Diversity MBA Magazine.
U.S. News & World Report consistently ranks this company among the nation's best hospitals in many specialties.
This company provides generous merit increases, two-week parental leave, and true work-life balance
Benefits and Features
Medical insurance, including prescription and vision coverage; Dental Insurance
Flexible spending accounts
Disability coverage plus basic life and accidental death and dismemberment (AD&D) insurance
Supplemental life and AD&D insurance for employee
Supplemental life insurance for employee's spouse and children
Cash balance plan
Savings plan
Paid time off (PTO) and holiday pay
Tuition assistance for employees, their spouses, and eligible dependents
Adoption assistance
The Role You Will Play
The Actuarial Manager, Value-Based Contracts ensures that the Actuarial Department provides excellent services to various internal and external clients in the areas of provider relations, contracting and forecasting.
The Manager determines the performance measures, associated benchmarks, and other contractual components to include in new-formed value-based contracts as well as assures reliability of measures and statistical methodologies in tracking performance.
In addition, this role will supervise actuarial analysts.
This role is entrusted to work closely with Enterprise Risk Management and key internal stakeholders to build and enhance insurance (underwriting and reserving) risk assessment, monitor changes to the risk profile, risk analytics, and understand key drivers as well as present to senior financial leadership.
Community Highlights
The position can work from a remote home office based within the United States.
This company is headquartered in Pittsburgh, PA
Background Profile
Expertise in actuarial value-based contracting, commercial pricing, Medicare pricing, reserving, medical economics, and Medicare or Medicaid risk adjustment.
6+ years of progressive Actuarial experience in health insurance, managed care, or related consulting business
Familiarity with commercial and government health programs
ASA or FSA required
Bachelors' degree in Mathematics, Actuarial Science, or related field

Vacancy posted a month ago

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