Director, Medical Economics/Medical Expense Actuary
Devoted HealthSalary not specified
- Full Time
- Senior (5 to 8 years)
$100,000 – $130,000Compensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, HealthcareIndustries
Requirements
Candidates should possess a Bachelor’s degree in a quantitative discipline such as math, actuary, statistics, risk/insurance, economics, econometrics, or financial analysis, and a minimum of six years of experience in healthcare or health insurance. They should also have at least four years of experience underwriting fully insured and self-insured cases, along with four years’ experience with stop loss placement, negotiation, pricing, or underwriting. Proficiency in analytical, spreadsheet, and database tools, including Excel, Tableau, and SQL (with SQL being a plus), is required, alongside a comprehensive understanding of healthcare, particularly in the context of claims, reimbursement, and risks.
Responsibilities
The Health Plan Underwriting Manager will design, develop, and implement pricing models, inclusive of risk-sharing methodologies, to align with company financials and business results, supporting the sales process and delivery of sales results. They will design and maintain financial/underwriting models to support sales, RFP responses, renewals, and provider/network contracting processes, collaborating with other teams to drive improvements in stop loss processes and providing technical analysis. The role involves assisting the Growth team, benefit advisors, and employers with plan design, contribution modeling, premium equivalents, and benefit plan accrual rates, as well as providing technical analysis on stop loss quotes and renewals, and supporting year-end client reviews and renewals in collaboration with the Client Success and Healthcare Analytics teams.
Skills
Excel
Tableau
SQL
PowerPoint
Word
Data Analysis
Financial Modeling
Risk Assessment
Health Care Knowledge
Reimbursement
Claims Processing
Centivo
Affordable health insurance with primary care focus
About Centivo
Centivo provides health insurance focused on making healthcare affordable and accessible. The company emphasizes primary care, offering free primary care services, no deductibles, and low, predictable copays to help keep its members healthier and reduce the need for hospital visits. Centivo generates revenue by charging employers for health plans provided to their employees, which leads to lower medical costs and increased usage of the plans. A key feature of Centivo's offering is its integrated virtual care service, allowing members to access care conveniently. The company is distinguished by its commitment to quality, curating providers based on strict price and quality standards, particularly in primary care. Centivo's goal is to enhance the member experience while lowering overall healthcare costs.
Key Metrics
Buffalo, New YorkHeadquarters
2017Year Founded
$183.7MTotal Funding
DEBTCompany Stage
Financial Services, HealthcareIndustries
201-500Employees