One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We’re on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years.
In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we’re building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive.
The Opportunity
One Medical is seeking an Actuarial Associate to join our Strategic Finance team. This fast-paced role provides an outstanding opportunity to influence data-driven business decisions. The Strategic Finance team has exposure to all facets of the business and plays a critical role in shaping the future and strategy of the company through forecasting and analysis of key business drivers. This position will have the opportunity to work on non-traditional actuarial and financial projects in a rapidly growing healthcare environment.
You will partner directly with our finance and clinical team members to help build out our core actuarial functions and support strategic decisions. As an actuarial leader on the team, you will own key processes across reserving, forecasting, pricing, and value-based contract analytics. You will help design new processes that provide critical and timely evaluation of our financial risks to the strategic finance team. We’d love to speak to you if you are extremely proactive, motivated, well organized, and have the ability to multitask while working with different stakeholders within the organization.
What you’ll work on:
- Manage the reserves and audit for the Medicare Advantage (MA) Value-Based Care (VBC) model and the ACO REACH program
- Model revenue and medical claims expense (MCE) forecasts
- Support the MA prescription drug (MA-PD) expense analytics
- Evaluate the MA VBC contracts and model financial projections
- Support risk adjustment analytics and sweep estimates
- Support stop-loss analytics, payment reimbursements, and renewals
- Support medical economics reporting and ad-hoc analyses
What you’ll need:
- Bachelor’s Degree in Finance, Actuarial Science, Mathematics, Economics, or Statistics is required
- 2 or more Actuarial Exams required
- 2+ years of experience in healthcare (PBMs, provider, payer, consulting, benefits consulting, healthcare analytics) actuarial analytics, and finance.
- Experience in actuarial modeling and calculating IBNR estimates
- Strong technical programming skills preferred; SQL, R, SAS, Python
- Experience in data visualization; Tableau, Looker, Power BI
- Demonstrates attention to detail
- Ability to thrive in a fast-paced, high-performance environment
- Exceptional communication and interpersonal skills, with proven success partnering and collaborating across a wide spectrum of stakeholders
- Ability to work cross functionally with stakeholders (Operations, FP&A, Accounting, Clinical, etc.) across the organization
Benefits designed to aid your health and wellness:
Taking care of you today
- Paid sabbatical after 5 and 10 years
- Employee Assistance Program - Free confidential advice for team members who need help with stress, anxiety, financial planning, and legal issues
- Competitive Medical, Dental and Vision plans
- Free One Medical memberships for yourself, your friends and family
- Pre-Tax commuter benefits
- PTO cash outs - Option to cash out up to 40 accrued hours per year
Protecting your future for you and your family
- 401K match
- Opportunity to participate in company equity programs
- Credit towards emergency childcare
- Company paid maternity and paternity leave
- Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance
- Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance
This is a full-time role based anywhere in the US
#LI-SB2
#LI-Remote
One Medical is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.
Subject to applicable law, proof of COVID 19 vaccination is required for employees and contractors who interact with patients, access a shared office space or engage with other team members, except where a medical or religious accommodation applies.
One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the E-Verification Poster (English/Spanish) and Right to Work Poster (English/Spanish) for additional information.
