Facebook pixel

Head Actuary
Remote
Posted on 7/26/2022
INACTIVE
Locations
Seattle, WA, USA
Experience Level
Entry
Junior
Mid
Senior
Expert
Desired Skills
Data Analysis
Management
R
SQL
Tableau
Python
Looker
Requirements
  • Bachelor's Degree in Finance, Actuarial Science, Mathematics, Economics, or Business required
  • ASA, MAAA and/or FSA required
  • 10+ years of experience in healthcare finance, consulting, or healthcare actuarial analytics required
  • 3+ years of experience in healthcare value based program preferred
  • 3+ years of experience in Medicare/Medicare Advantage preferred
  • Experience in determining monthly IBNR estimates and risk adjustment evaluation preferred
  • Experience in annual Medicare Advantage bid development process a plus
  • Experience in with Direct Contracting/ACO Reach a plus
  • Ability to work cross functionally with stakeholders (Operations, Finance, Planning, & Accounting (FP&A), Clinical, etc.) across the organization
  • Ability to lead, manage, and conduct multiple types of technical and actuarial analyses (e.g., pricing, reserving, and funding)
  • Strong technical programming skills; SQL, R, SAS, Python, Looker
  • Demonstrated data visualization experience; Tableau, Looker, PowerBI
  • Ability to work collaboratively to drive challenging and ambiguous projects
  • Ability to lead and grow actuarial team
Responsibilities
  • Analysis of Medicare Advantage and Direct Contracting data primarily
  • Design and implement an actuarially sound monthly reserving process for Total Medical Expense (TME) and Premium estimation
  • Lead continuous evaluation of TME performance compared to plan expectations
  • Support month end financial and accounting processes for relevant actuarial estimates
  • Support ongoing audit review of Incurred But Not Reported (IBNR) estimates
  • Support medical economics reporting and ad-hoc analyses relating to cost of care management
  • Design retrospective analysis of IBNR estimation and the design of studies to monitor the suitability of the completion factor estimates
  • Lead continuous evaluation of risk based funding and scoring performance compared to plan expectations
  • Collaborate and support Medical Economics Analysis
  • Support the evaluation of stop loss coverage limits and risk exposure within value based contracts
  • Design and manage actuarial intern/co-op analyses
  • Analyze and develop new de novo market assessments and modeling
One Medical

1,001-5,000 employees

Primary care quality, experience, and technology.
Company Overview
One Medical is a membership-based primary care platform with seamless digital health and inviting in-office care, convenient to where people work, shop, live and click. Their vision is to delight millions of members with better health and better care while reducing the total cost of care. Their mission is to transform health care for all through their human-centered, technology-powered model. They are disrupting health care from within the existing ecosystem by simultaneously addressing the frustrations and unmet needs of key stakeholders, which include consumers, employers, providers, and health networks.
Benefits
  • Paid sabbatical for your 5th and 10th year
  • Paid health, vision, and dental insurance
  • PTO cash out program lets you get cash for up to 40 accrued PTO hours each year
  • Free One Medical memberships for you and three friends or family members
  • Pre-tax commuter benefits
  • Paid maternity and paternity leave at 100% of your base salary
  • Credit towards childcare