Actuarial Analyst, Consultant

Job description

Your Role The Network and Trend Analytics team drives the development of an affordable provider network through data analytics and expertise. The Actuarial Analyst, Consultant will report to the Senior Manager. In this role, you will lead and perform financial analyses and modeling for provider contracting support including term changes, renewals, network changes, and terminations for physician groups, hospitals, ambulatory surgery centers, and other types of providers Your Work: In this role, you will: Create financial unit cost trend reporting and rate calculations under limited oversight using Excel and other modeling tools Reprice historical data against provider contract terms based on deep understanding of contract structure and configuration Analyze complex contract rate proposals from physician groups, hospitals, ambulatory surgery centers, and other providers to assess the financial and trend impact - Understand the core principles and functionality of decision, descriptive, predictive, and prescriptive analytic methods including forecasting and statistical techniques - Conduct and develop analysis, assess risk and population risk scores and assignment, develop trends, per...