[Remote] Senior Associate, Actuarial Services at Interwell Health

United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

5-10 years related experience
Strong computer skills with demonstrated proficiency in word processing, spreadsheet, presentation, database and email applications
Strong interpersonal skills with the ability to lead effective and productive teams
Excellent oral and written communication skills to effectively communicate with all levels of management
Prior experience in multi-location environment within the healthcare industry preferred

Responsibilities

Performs assigned actuarial analysis tasks in support of pricing, reserving, provider contract development, and product development, including utilizing actuarial systems and programming skills to access and organize data, performing actuarial calculations, analyzing moderate to complex information, assessing reasonability of results, drawing conclusions, updating exhibits and slides, and completing documentation
Assist in the development of pricing methodologies, analysis of the plan's risk pool and identification of trends in IWH's cost structure
Support management in the financial feasibility of potential acquisitions, joint ventures, and startup businesses by providing complex analyses and financial models for diverse financial data
Prepare presentations for review by management, board of directors, and diverse governing bodies by providing diverse financial data
Development of revenue and medical claims expense models for evaluating and projecting risk-based contracts with health plan clients, ACOs, and government partners
Drive decision-making around proposed contract changes and financial evaluation of specific contract terms
Acts as a subject matter expert in medical economics in relation to Medicare and Managed Care
Ensures data integrity is maintained throughout the reporting lifecycle
Collaborate with Finance and other internal departments, including clinical, to analyze the financial value of vendor contracts
Analyzing and monitoring related data across the enterprise, applying business knowledge and expertise to support business initiatives and solve business problems, and communicating results and findings to key stakeholders
Development, coordination, and management of medical economics models and health services outcome studies and for the design and development of integrated data analysis products and Pharmacoeconomics data analysis

Skills

Key technologies and capabilities for this role

Actuarial AnalysisPricingReservingFinancial ModelingData AnalysisMedical EconomicsPharmacoeconomicsRisk Pool AnalysisProvider Contract DevelopmentProduct Development

Questions & Answers

Common questions about this position

What experience level is required for the Senior Associate, Actuarial Services role?

The position requires 5-10 years of related experience.

What technical skills are needed for this position?

Strong computer skills with demonstrated proficiency in word processing, spreadsheet, presentation, database, and email applications are required.

What soft skills are important for this role?

Strong interpersonal skills to lead effective teams and excellent oral and written communication skills to communicate with all levels of management are essential.

What is the compensation for this position?

This information is not specified in the job description.

Is prior healthcare industry experience preferred?

Prior experience in a multi-location environment within the healthcare industry is preferred.

Interwell Health

Specialized kidney care management services

About Interwell Health

Interwell Health manages kidney care by partnering with physicians to improve healthcare for patients with kidney disease. They focus on early detection and prevention, aiming to enhance patient outcomes and quality of life while reducing healthcare costs. Their services include patient education, personalized care plans, and data analytics, all designed to delay the progression of kidney disease. By aligning their financial incentives with patient health outcomes, Interwell Health is dedicated to transforming kidney care through a value-based approach.

Waltham, MassachusettsHeadquarters

2014Year Founded

$64.2MTotal Funding

SERIES_BCompany Stage

HealthcareIndustries

501-1,000Employees

Benefits

Remote Work Options

Flexible Work Hours

Risks

Integration challenges with Epic EHR could lead to operational inefficiencies.

Expansion into Florida may face complex regulatory hurdles.

Rapid provider network growth could strain resources and affect care quality.

Differentiation

Interwell Health integrates with Epic EHR for seamless nephrology care management.

The company focuses on early detection and prevention of kidney disease.

Interwell Health partners with over 2,000 nephrologists nationwide.

Upsides

Telehealth expansion offers remote monitoring and consultations for kidney care.

AI-driven predictive analytics enhance early detection and intervention strategies.

Partnerships with tech firms can improve data analytics and patient management.

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