Director, Actuarial Services (Remote)
AledadeSalary not specified
- Internship
- Mid-level (3 to 4 years), Senior (5 to 8 years)
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
Candidates should possess a strong background in healthcare economics, data analysis, and strategic planning, along with a solid understanding of healthcare delivery systems and reimbursement models. A relevant advanced degree, such as a Master’s in Actuarial Science, Public Health, or a related field, is preferred, and professional actuarial credentials (e.g., ASA, FSA) are highly desirable. Experience in medical economics and/or medical expense analysis is also required.
Responsibilities
The Senior Manager of Medical Economics/Medical Expense Actuary will support the organization’s efforts to improve medical costs by conducting medical cost analysis and support, partnering with the network team on provider reimbursement strategy, conducting data-driven analyses of healthcare utilization patterns, collaborating with cross-functional teams, assessing the financial impact of initiatives, monitoring performance, staying informed about industry trends, and preparing reports and presentations for leadership. They will also advise on provider and facility reimbursement strategies and contribute to key operational and strategic decisions within the organization.
Skills
Healthcare economics
Data analysis
Strategic planning
Healthcare delivery systems
Reimbursement models
Devoted Health
Medicare Advantage plans with personalized support
About Devoted Health
Devoted Health provides Medicare Advantage plans aimed at simplifying and making healthcare more affordable for seniors aged 65 and older. Their plans include services like provider and pharmacy searches, prescription drug coverage, and preventive care rewards. Members pay premiums for these plans, and the company may also receive government payments for managing Medicare benefits. What sets Devoted Health apart from competitors is their high level of customer service, featuring Devoted Health Guides who assist members in navigating their healthcare options and addressing common issues with traditional insurance. Additionally, they promote preventive care through the Devoted Dollars program, which rewards members for engaging in health activities. The goal of Devoted Health is to create a more compassionate and accessible healthcare experience for its members.
Waltham, MassachusettsHeadquarters
2017Year Founded
$2,194.5MTotal Funding
SERIES_ECompany Stage
HealthcareIndustries
1,001-5,000Employees