Finance Actuarial Analyst @ One Medical

Finance Actuarial Analyst

Remote

Posted on 3/30/2023

INACTIVE

Locations

San Francisco, CA, USA

Experience Level

Entry

Junior

Mid

Senior

Expert

Desired Skills

Data Analysis

SQL

Tableau

Python

Looker

Communications

Power BI

Requirements

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

Responsibilities

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

About Us

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.

1,001-5,000 employees

Website

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