Job Information
Evolent Director, Actuarial Services in Providence, Rhode Island
Your Future Evolves Here
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
What You’ll Be Doing:
Our Actuarial Team offers candidates the opportunity to support value-based healthcare across all lines of business, particularly in complex conditions such as oncology and cardiology. We are advocates for creating patient value and demonstrate this by ensuring that our financial arrangements are actuarially sound and sustainable. We value humility, adaptability, intellectual curiosity, and accountability as we solve complex business problems.
Collaboration Opportunities:
The Director, Actuarial Services utilizes and develops analytical tools to solve complex business challenges, as well as support decision making that can have a considerable impact on the organization and patient health. This role supports both medical cost management activities and business development efforts.
What You Will Be Doing:
Analyze claims and authorization data to identify trends, calculate cost of healthcare, and identify medical cost savings opportunities for customers
Perform rigorous actuarial modeling and forecasting to support gain/share and ROI arrangements
Incorporate business expectations for the financial impacts of clinical integration, population management processes, provider contracts, and benefit structures into rates and financial projections
Manage organizational risk through forecasting of financial/statistical data in a manner which is actuarially sound
Ability to lead and work independently with cross-functional teams in a fast-paced environment
Consistently deliver high-quality, error-free deliverables
Manage several projects at varying phases, and ensure projects meet strategic objectives and are managed to timelines
Interact with and coach teams of actuaries and non-actuaries, including support for team engagement and strategy
Present reports and analyses to clients and internal executives
Qualifications - Required:
Bachelor’s degree, preferably with a quantitative major (e.g. actuarial science, statistics, mathematics, economics, data science)
Associate or Fellow of the Society of Actuaries
5+ years of experience in a health actuarial setting
Strong proficiency with Microsoft Excel
Demonstrated leadership abilities by managing and mentoring employees, while fostering a collaborative and high-performing work environment
Ability to communicate clearly with diverse stakeholders to solve problems, and ability to translate between business needs and analytical needs
Exceptionally strong analytical abilities, with track record of identifying insights from quantitative and qualitative data
Actuarial experience in value-based care across payers (Commercial, Medicaid, Medicare Advantage) is not essential, however strongly preferred.
Proficiency with query languages such as SQL or SAS is strongly preferred.
Experience in claims-based healthcare analytics to drive decision making is preferred.
Technical Requirements:
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruiting@evolent.com for further assistance.
The expected base salary/wage range for this position is $130,000 to $160,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
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