Actuarial Risk & Pricing Manager
Somatus, Inc.
Overview More Lives, Better Lived® As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you? Showing Up Somatus Strong We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make: Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say. Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more. Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients' lives or our partners' best interests. Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions. Tenacity: We see challenges as opportunities for growth and improvement - especially when new solutions will make a difference for our patients and partners. Showing Up for You We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including: Subsidized, personal healthcare coverage (medical, dental vision) Flexible Paid Time Off (PTO) Professional Development, CEU, and Tuition Reimbursement Curated Wellness Benefits supporting teammates physical and mental well-being Community engagement opportunities And more! The Manager, Actuary role will require the ability to evaluate complex risks and assess the potential financial consequences of those risks in the healthcare space. Utilize mathematics, statistics, and financial theory to assess the risk that may occur and help the business and clients develop business plans that minimize the cost of that risk. Advise the business on contract pricing in a value-based, risk bearing environment. Contribute to a wide variety of complex projects involving the contracting, reserving, pricing, and financial modeling of a full array of value-based care programs for providers and payors. This role will directly support reporting and strategy around Somatus cost-saving programs. Responsibilities Essential Functions:
- Analyze statistical data around medical trends
- Complex modeling of statistics to determine potential risks
- Assist with pricing risk contracts with payors and providers
- Prepare presentations and detailed reports
- Exercise advanced statistical knowledge and awareness
- Create statistical work using predictive and probability tables created on customized statistical analysis software
- Develop and maintain multiple internal statistical models to support key business goals / initiatives; pricing models, financial projections, contract modeling, and ad hoc support projects
- Strong quantitative and financial modeling capabilities and problem-solving ability
- Possess a deep understanding of economics and of the regulations relating to healthcare financing
- Ability to work both independently and on teams and enjoy a fast-paced collaborative environment
- Strong analytical and integrative skills including ability to draw conclusions, develop processes, and identify trends from data in a logical, systematic way
- Create advanced analytical models that help demonstrate our program value (cost savings, quality outcomes, and member satisfaction) to our clients
- Strong written and verbal communication skills
- Proficiency with Microsoft Suite to include SQL, Excel, Word, Power Point and Outlook
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