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Key job responsibilities
- Support modeling and cost projections for US and International benefits.
- Serve as a subject-matter expert on insurance renewals, healthcare trends, claims analysis, and industry benchmarks.
- Implement metrics and processes to track and measure healthcare quality.
- Design reports and dashboards to support tracking experience, outliers, and surfacing insights across healthcare cost, quality, and utilization.
- Detect, research, and propose strategies to address gaps and anomalies.
- Translate technical and financial results for a non-technical audience.
- Design and implement program evaluations for vendor solutions and benefit programs.
- Develop models and pricing analysis for medical outlier claims.
- Review and recommend plan designs, plan offering strategies, and pricing for benefits.A day in the lifeOn any given day, we could be working on the following:- Establishing data pipelines for new and existing data.
- Periodic travel required.
- 6+ years of proven, technical experience in health actuarial work
- Experience producing clear and effective writing that informs and persuades
- Experience with medical claims data (e.g., DRG, CPT, ICD-10 diagnosis codes , etc.)
- Associate of the Society of Actuaries (ASA)
- 5+ years of data querying languages (e.g. SQL), scripting languages (e.g. Python) or statistical/mathematical software (e.g. R, SAS, Matlab, etc.) experience
- 4+ years of data scientist or similar role involving data extraction, analysis, statistical modeling and communication experience
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