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 JOB SUMMARY
This is a highly unique role at an innovative, fast-growing, private equity backed healthcare company. As the second actuarial employee under our Head of Actuarial Services, you will be tasked with helping to build the actuarial function from the ground-up. This job has significant long-term growth opportunity.
We are looking for an Actuarial Manager to join our team and support our actuarial functions. In this role, you will be responsible for developing actuarial eligibility and claims analyses, IBNR model development, revenue analysis and forecasting, providing support in value-based contract negotiations, coding for data processing, and any other ad-hoc analyses. They will in partnership with Finance and Market leadership develop annual budgets and reforecasts. This person will provide actuarial insight to improve WellBe’s performance under full-risk contracts. The ideal candidate will have strong analytical skills, experience in healthcare actuarial analysis, and excellent communication skills.
Educational and Experience Requirements:
Required Skills and Abilities:
Supervisory Responsibility: This position will have no direct reports at this time, but the role could expand if the individual demonstrates excellent performance.
Travel requirements: Travel may be required up to 10% locally or nationally
Work Conditions: Ability to lift up to 20lbs. WellBe is currently working in-person in the office. Partial work from home is a possibility after demonstrated strong performance.
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.
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