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**MEMBERS ONLY**SIGN UP NOW***. offers a suite of innovative analytic solutions including Big Data Services, Total Population Health Management, Financial Risk Intelligence and Customized Prediction Models. These solutions are configured upon our open source Hadoop Platform, with the underlying philosophy of providing analytics as a service and moving beyond predictions to deliver actionable intelligence.
Our team represents a dynamic infusion of multidiscipline which includes actuarial, data and behavioral scientists, IT engineers, software developers, nurse clinicians, as well as experts in public health and the health insurance industry. **MEMBERS ONLY**SIGN UP NOW***. has extensive experience working with a diverse set of customers including large self-insured employers, health plans, pharmacy benefit managers, government programs, care management companies and health systems. These relationships with various data providers and customers allows for rapid data ingestion, validation and enrichment as well as streamlined delivery of analytic dashboards, outputs and visualizations to our customers.
Our unique approach allows for the development of the most accurate financial, clinical and behavioral models in the industry.
Actuaries are responsible for measuring and evaluating risk utilizing data analytics. They will also help us to design and build best in class products by evaluating and making recommendations for improving processes. If you are someone who doesn’t shy away from rolling up your sleeves and diving in, this position may be for you.
Participate in Product Design meetings, and assist in the product design, development and testing process
Manipulate and analyze complex, high-volume, high-dimensionality data from varying sources using a variety of tools and data analysis techniques
Provide expertise to customers and internally using Certilytic’s advanced analytic techniques applied to actuarial, financial and underwriting concepts
Assist with the development of reports and projects, including documenting methodology, designing reporting, and making recommendations based upon data analysis
Identify complex healthcare data problems or issues, researches solutions, and implement steps to achieve higher level of efficiency for **MEMBERS ONLY**SIGN UP NOW***. analytic product offerings
Provides analytical support to the Product Design, Data Science, Clinical, Data Logistics, and Operational Teams
Conduct research and perform root cause analysis as part of responsibility for analytics projects
All other duties as assigned.
Required Skills Requirements
Bachelor’s degree in Actuarial Science, Mathematics, Economics, Statistics, Finance or related field.
Fellow of the Society of Actuaries (FSA), Associate of Society of Actuaries (ASA) designation, or progressing towards ASA designation
A minimum of 4 years actuarial experience.
Strong knowledge of healthcare industry actuarial concepts, including trend, risk adjustment, care management, provider contracting, product pricing, underwriting principles and stop-loss.
Understanding of healthcare operations from perspective of payer, PBM and provider.
Proficiency with Microsoft Office and SQL.
Strong actuarial, analytical and problem-solving skills.
Knowledge of Medicare and Medicaid lines of business preferred
Strong organizational and prioritization skills.
Strong interpersonal and communication (verbal & written) skills.
Ability to communicate business and technical information to people of various backgrounds.
Stays current with profession’s continuing education requirements.
Ability to work under pressure and tight deadlines.
Job Location Louisville, Kentucky, United States Position Type Full-Time/Regular
About this company
The key to improving the outcomes for health plan participants involves greater abilities to predict the future of an individual’s health care needs, and how they will behave in response to their interaction with the health care system. **MEMBERS ONLY**SIGN UP NOW***., Inc. gathers, assembles and enriches disparate data to give unique insight to risk management, profiling, population health and management, and financial analysis.
Location/Region: Louisville, KY (US)