Job Title: Actuary
Company: VBC Health Insurance Company
Location: Remote / Flexible
Job Type: Full-Time
About Us: A leading healthcare organization dedicated to transforming the way healthcare is delivered and financed. We are committed to improving patient outcomes and reducing costs through innovative value-based care models. Our team is composed of dynamic and forward-thinking professionals who are passionate about making a difference in the healthcare industry.
Position Overview: We are seeking a highly skilled and motivated Actuary with significant Value-Based Contracting experience to join our team. In this role, you will play a critical part in developing and managing value-based contracts with healthcare providers. You will use your actuarial expertise to design, implement, and evaluate financial models that align incentives with quality and efficiency in healthcare delivery.
Key Responsibilities:
- Contract Design and Analysis: Develop and analyze value-based contracts, including risk-sharing and performance-based agreements, ensuring they are actuarially sound and aligned with organizational goals.
- Financial Modeling: Create and maintain complex financial models to project costs, savings, and outcomes under various value-based care scenarios.
- Data Analysis: Utilize healthcare data to assess provider performance, identify cost drivers, and support contract negotiations.
- Risk Adjustment: Apply risk adjustment methodologies to ensure fair and accurate comparisons across different patient populations and provider groups.
- Collaboration: Work closely with cross-functional teams, including finance, clinical, and provider relations, to support value-based initiatives and ensure alignment with overall strategy.
- Reporting: Develop and present detailed reports and presentations for internal and external stakeholders, translating complex actuarial concepts into actionable insights.
- Regulatory Compliance: Ensure all value-based contracts comply with relevant regulations and guidelines, staying current with changes in the healthcare policy landscape.
Qualifications:
- Education: Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field. Fellowship or Associateship in the Society of Actuaries (FSA or ASA) is preferred.
- Experience: Minimum of 5 years of actuarial experience, with a focus on healthcare, value-based contracting, or related fields.
- Technical Skills: Proficiency in actuarial software and tools (e.g., SAS, R, Python), and advanced Excel skills. Experience with data visualization tools is a plus.
- Analytical Skills: Strong analytical and problem-solving abilities, with a keen attention to detail.
- Communication: Excellent written and verbal communication skills, with the ability to convey complex information to a variety of audiences.
- Team Player: Ability to work collaboratively in a team environment and manage multiple projects simultaneously.
- Innovative: A proactive mindset with a passion for innovation and continuous improvement in healthcare delivery.
Benefits:
- Competitive salary and performance-based bonuses
- Comprehensive health, dental, and vision insurance plans
- 401(k) with company match
- Generous paid time off and holidays
- Professional development opportunities
- Flexible working arrangements
