Role Summary

HIGHLIGHTS

Senior health actuarial analyst role focused on provider contracting and network financial analytics in Oakland, CA. You will lead financial analyses, trend forecasting, and reimbursement modeling for provider contracts using SQL and SAS, partnering with network management and reporting to a Senior Manager.

JOB DESCRIPTION SUMMARY

Lead financial analyses and modeling for provider contracting (hospitals, physician groups, ASCs)
Develop trend forecasting and predictive analytics for managed care provider networks
Reprice historical claims data against contract terms using SQL and SAS
Partner with network management on contracting strategy and provide analytic consultation
Hybrid role with a default office expectation of at least two visits per month

DOMAIN EXPERTISE

Professional actuarial experience (6+ years)
Experience analyzing healthcare claims data, trends, and forecasting in a managed care setting

KEY REQUIREMENTS

6+ years of professional actuarial experience
5+ years analyzing healthcare claims data and forecasting in a managed care setting
Bachelor’s degree (minor in math, statistics, or CS preferred) required
Proficiency with Excel and working knowledge of SQL and/or SAS
Experience performing financial analyses for provider reimbursement and trends