Dir. Actuarial Services

Job Locations US-IL-Chicago
ID
2021-1462
Category
Finance
Type
Active/Full Time/Regular

Job Description

The Director, Actuarial Services will lead WellBe’s actuarial claims analysis, IBNR model development, revenue analysis & forecasting, and provide support in value-based contract negotiations.  They will in partnership with Finance and Market leadership develop annual budgets and reforecasts. This role will also evaluate changes in payor contracts and government programs make recommendations to improve the performance of WellBe. This person will provide actuarial insight and expertise to improve WellBe’s performance under full-risk contracts.

 

Job Requirements

QUALIFICATIONS

 

Educational and Experience Requirements:

  • Bachelor’s Degree in actuarial science, mathematics, or related field
  • FSA and MAAA
  • 7+ years of full-time experience in actuarial roles
  • 5+ years of experience directly in healthcare
  • Preferred experience as a pricing actuary leading Medicare Advantage bid process
  • Preferred experience developing/evaluating provider performance in a value-based contract
  • Experience managing and leading an actuarial/analytics team
  • Track record of successfully executing working with both technical and non-technical leaders

 

Required Skills and Abilities:

  • Strong Actuarial skills with a demonstrated ability to lead a pricing and/or projection team
  • Demonstrated ability to accurately project IBNR
  • Demonstrated understanding of risk-based contracting and performance analysis
  • Understanding of Medicare Advantage, Medicare ACO, and Direct Contracting programs
  • Advanced data analytic abilities
  • Ability to communicate effectively to all levels of the organization.
  • The ability to lead teams that do not all have a direct reporting relationship

Supervisory Responsibility: No supervisory responsibilities.

 

Travel requirements: Travel may be required up to 10% locally or nationally

 

Work Conditions: Ability to lift up to 20lbs.  Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 100lbs. 

  • Ability to stand for extended periods
  • Ability to drive to patient locations (ie. home, hospital, SNF, etc)
  • Fine motor skills
  • Visual acuity

.

The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification.  Management reserves the right to add, modify, change or rescind the work assignments of this position.  Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role. 

Job Summary

WellBe Senior Medical is an innovative, private-equity backed healthcare company focused on providing the highest quality geriatric care (care of older adults) to frail, elderly Medicare Advantage patients with multiple chronic medical conditions. This population is typically underserved and very challenged with access to quality care.  To address these problems, WellBe has elected to bring the care to the patient, instead of trying to bring the patient to the care. Care is provided throughout the entire continuum of care – from chronic care and urgent care in the home, to hospital, to skilled nursing facility, to assisted living, to palliative care, to end of life care. WellBe's physician-led geriatric care teams provide “concierge” level geriatric medical care and social support in the home as well as delivering and coordinating care across the entire continuum.

 

GENERAL SUMMARY

This is a highly unique role at an innovative, fast-growing, private-equity backed healthcare company.  As the first actuarial employee, you will be tasked with helping to build the actuarial function from the ground-up.  This job has significant long-term growth opportunity. 

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed