• Actuarial Services Analyst - Service Fund

    ChenMed (Miami, FL)


    We’re unique. You should be, too.

     

    We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

     

    We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

     

    The Actuarial Services Analyst – Service Fund is responsible for managing and tracking the risk positions underlying the financial service funds and payer settlements within ChenMed as well as supporting the strategic goals of the company. Performs technical and analytical support functions to help the finance department and the company meets its goals. Works with different departments within ChenMed to provide analytics supported by actuarial or data modeling.

     

    In alignment with our Finance vision, this position will support the transformation of care for the neediest populations by being committed to business focused self-development, through the generation and use of information to support business leadership in driving great decisions, optimizing performance and ensuring accountability through transparency, actionable insights and education.

    ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

    + Completes monthly service fund audits across national payers, run the payment settlement models, and establish the monthly stars accrual.

    + Works with a team of financial analysts to assist with the actuarial components of the annual financial plan. Assists in the determination of revenue, reserves and/or cash flow projections.

    + Identifies data patterns and trends, and provides insights to enhance business decision making capability in business planning, process improvement, solution assessment, etc.

    + Analyzes and validates payer claims data, funding data, underlying capitations, settlement terms, and contractual language. Assists markets to identify factors driving claims cost and estimates historical and prospective trends.

    + Performs actuarial analysis of CMS public information. Calculates statistical and probability forecasts and models from data.

    + Provides actuarial support to markets; creates and distributes reports; responds to inquiries.

    + Runs CMS risk adjustment model to calculate member level risk scores.

    + Assists in actuarial research, experience studies, and statistical analyses and calculations.

    + Reviews accuracy of data and calculations. Reports and interprets results of data analysis. Analyzes risk evaluation data, using appropriate models and statistical methods; creates relevant charts and graphs.

    + Performs other duties as assigned and modified at manager’s discretion.

    KNOWLEDGE, SKILLS AND ABILITIES:

    + Software skills in Visual Basic, SQL and SAS

    + Good analytical and communication skills

    + Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint, Outlook, and database software

    + Ability and willingness to travel locally, regionally, and nationwide up to 10% of the time

    + Spoken and written fluency in English

    + This job requires use and exercise of independent judgment

    EDUCATION AND EXPERIENCE CRITERIA:

    + Bachelor’s degree in actuarial science, mathematics, economics, statistics, data science or finance preferred; completion of 2+ actuarial exams; on track to ASA/FSA designation or equivalent data science designation preferred

    + Experience may substitute for education on a year-for-year basis above the minimum required

    + No prior experience required

    + Data science or actuarial experience preferred

     

    We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care.

     

    ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day.

     

    Current Employee apply HERE (https://careers.chenmed.com/i/us/en/homerevisited)

     

    Current Contingent Worker please see job aid HERE to apply