Nashville, TN, United States
We Are Hiring
Senior Actuarial Analyst, Network Analytics - Acension Care Management, Actuarial & Analytics - Full-Time, Days - Glendale, WI or Nashville, TN
Why Join Ascension?
Ascension Care Management (ACM) creates customized healthcare solutions for health systems, payers, and employers that stabilize costs, improve outcomes, and enhance the experience for both providers and individuals. Our range of services strive to create a seamless healthcare experience for providers, payers and healthcare leaders by improving access to and removing complexity from the delivery of healthcare.
ACM serves 1.3 million patients across the nation and manages more than 20,000 providers through our clinically integrated networks of providers. ACM helps our customers eliminate stress and uncertainty, allowing them to confidently provide quality, value-based services and solutions. Beyond traditional population health management solutions, ACM offers additional expertise in claims management, care coordination, risk management and safety strategies that allow healthcare leaders to avoid challenges and capitalize on healthcare opportunities.
What You Will Do
The Senior Analyst – Network Analytics will support the Population Health leaders by providing analysis and data insights. Analytics will be at both a block and granular level and will be for both Commercial and Medicare populations. Analytics will be claim level and demographic analytics, across all ACM ministries.
Compiles analytical and statistical reports as needed.
Formulates, defines and recommends scope and format of reports.
Oversees provision of ad hoc management reports.
Reviews information for accuracy and reconciles data on a regular basis.
Book of business, network level, and market level trend analysis for Commercial and Medicare lines.
Transform data to analyze financial value and adequacy of our provider networks and value-based contracts within the Commercial and Medicare populations.
Evaluate and track medical cost initiatives on Commercial and Medicare populations.
Support analysis of Managed Care programs and opportunities within commercial and Medicare contracts.
Website : http://www.ascension.org
Ascension Health is transforming healthcare by providing the highest quality care to all, with special attention to the poor and vulnerable. Ascension Health, which provided $1.3 billion in care of persons who are poor and community benefit last year, is the nation's largest Catholic and nonprofit health system. Our mission-focused Health Ministries employ more than 150,000 associates serving in more than 1,500 locations in 23 states and the District of Columbia. Our Strategic Direction incorporates an outward promise to those we serve to deliver Healthcare That Works, Healthcare That Is Safe, and Healthcare That Leaves No One Behind, for Life, by the year 2020. We continue to build on the remarkable progress we have made as a healing ministry and share a sacred obligation on behalf of those we serve.Our actions are guided by the Mission, Vision, and Values on which our ministry is built. Through the conviction of our local and national leaders, our strategic direction guides us to provide: