Actuarial Analyst PD III

Essential Job Functions

• Support analysis for the actuarial department and finance teams.
• Key tasks include supporting engagements with outside vendors.
• Vendor engagements include pricing work, risk score initiatives, and quality measures.
• Periodic utilization and cost reporting.
• Support the revenue cycle.
• Support efforts towards consolidating data management and creating dashboards.
• Automate processes and improve efficiency using tools such as SQL, Power BI, and Excel.
• Ensure data accuracy, integrity, and documentation of methodologies.
• Manage assigned projects and effectively communicate with the requestor and leadership team any project roadblocks that may jeopardize deadlines in advance of due dates.
• Responsible for understanding the various data sources available at Imperial.
• Document all coding/analysis/reporting projects following established protocols to ensure transparency and repeatability.
• Collaborates and maintains effective working relationships with management, internal departments, and external vendors.
• Works with management to prioritize business and information needs.
• Maintains regular and consistent attendance.
• Adheres to Compliance Plan and HIPAA regulations.

Marginal Job Functions

• Takes on special projects as needed.
• Performs other duties as assigned.

Position Requirements

• Education/Experience: Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Economics, or related field. Four or more years of experience in a healthcare or related setting (Preferably Medicare Advantage, Medicaid, Commercial insurance).
• Skills/Knowledge/Ability: Thorough knowledge of MS Office Suite particularly Excel. Outstanding organizational and problem-solving aptitude, solution oriented and willingness to dig into the details. Willingness and ability to read, write, speak, understand English and have the communications skills necessary to provide accurate information to members and staff. Willingness and ability to follow written and verbal direction in English. Willingness and ability to maintain an appropriate level of confidentiality and privacy. Willingness and ability to interact professionally with all customers, members, and co-workers, individually and as part of a team. Willingness and ability to effectively handle multiple items/tasks as required and adapt favorably to changing priorities. Willingness and ability to make appropriate judgments, decisions and problem solving in a timely manner and within the context of the situation at hand. Ability to effectively prioritize items/tasks as required. Willingness and ability to take initiative and be a self-starter. Willingness and ability to understand and comply with Federal, State, and local regulations.