Senior Analyst, Actuarial - ACO

$46,988 - $112,200/Yr

CVS Health - Lansing, MI

Full-time - Entry Level

Lansing, MI

Health and Personal Care Retailers

About the position

The position involves applying in-depth knowledge of quantitative and analytical methods to complete assigned projects, potentially functioning as a project team lead. The role focuses on analyzing complex business and product processes to achieve effective business solutions, particularly in the actuarial informatics area.

Responsibilities

• Assist with establishing and implementing results-based programs and innovative initiatives for the actuarial informatics area.
• Analyze complex liabilities and risks within healthcare data to minimize potential costs.
• Design complex solutions for actuarial and underwriting processes to optimize workflow and enhance user experience.
• Communicate results and timelines for multiple projects to internal and external constituents.
• Conduct routine maintenance and enhancements of existing systems to support the actuarial team.
• Coach junior colleagues in techniques, processes, and responsibilities.

Requirements

• Bachelor's Degree or higher in Mathematics, Statistics, Actuarial Science or closely related field.
• 2-5 years of relevant industry experience in areas such as Medicare Advantage, ACO, MSSP, ACO REACH, Healthcare Economics, Pricing, Reserving, Forecasting, Data Analytics.
• Excellent quantitative analysis abilities, grounded in epidemiology, biostatistics, econometrics, health informatics, healthcare analytics or related field.
• Strong SQL, SAS, Python, or R skills, with the ability to perform effective querying involving multiple tables and subqueries.
• Demonstrated ability to conduct nuanced analyses to produce accurate and unbiased results and present them in data visualizations and reports.
• Deep knowledge of standard methods for measuring health care utilization, spending, quality, and outcomes; risk adjustment; provider profiling; and related analytical tasks.
• Excellent oral and written communication skills; ability to present complex information in an understandable and compelling manner.
• Ability to work independently and in a team environment.
• Proven ability to work in a fast-paced environment where client satisfaction is key.

Nice-to-haves

• Attainment, or close to the attainment, of Associate of the Society of Actuaries (ASA).
• Experience with VRDC (CMS 100% Research Identifiable Files RIF) and/or LDS (5% Sample Data).
• Prior experience in value-based care settings.
• Proficient in Excel, Word and Power Point software.

Benefits

• Full range of medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Employee Stock Purchase Plan.
• Fully-paid term life insurance plan.
• Short-term and long-term disability benefits.
• Numerous well-being programs.
• Education assistance and free development courses.
• CVS store discount and discount programs with participating partners.
• Paid Time Off (PTO) and paid holidays.