Delaware Valley Accountable Care Organization (DVACO), located in Radnor, PA has a newly created opportunity for Manager, Actuarial Informatics
The DVACO is a limited liability joint venture corporation comprised primarily of two major health systems: Jefferson Health and **MEMBERS ONLY**SIGN UP NOW***., serving the Greater Philadelphia region and southern New Jersey. DVACO was accepted into the Medicare Shared Savings Program for the 2014 start year, and now includes 2,000 physicians serving over 180,000 lives. DVACO contracts with four commercial payers and serves Medicare beneficiaries, making it the region’s largest Accountable Care Organization. At the core of operations, DVACO is committed to working towards the achievement of the triple aim: better outcomes, better experiences, and smarter spending. Our culture embraces innovation of healthcare delivery models through collaborative work with physician practices, health systems and employee wellness programs. To learn more, please go to ****Why Work for **MEMBERS ONLY**SIGN UP NOW***.?
We are committed to providing exceptional care with empathy and compassion for people at all stages in life. Our Diversity, Respect and Inclusion Initiative celebrates our differences and our similarities. Ultimately, we want everyone to feel respected for who they are.
The Manager, Actuarial Informatics is responsible for a specified team of informatics analysts at the DVACO. He/she coordinates projects and manages the team informatics functions including the monitoring of cost & utilization trends, quality measure performance and network performance. This team is the key provider of data, information, and detailed analytics used to measure performance of population health initiatives and value based contracts at the DVACO. Supports other areas of the DVACO and PODs as directed by VP of Operations and the DVACO Leadership Team. Assists in maintaining a critical interdependence between the DVACO Actuarial Informatics team and the Jefferson Actuarial Informatics team. Works in collaboration with the Jefferson IT and Actuarial Informatics teams to support DVACO and POD approved initiatives. Leverages a number of cloud based and POD supported analytical applications.
Bachelor’s Degree in Mathematics, Actuarial Science, Statistics or related field required. Master’s degree preferred. Fellowship in Society of Actuaries and Member of the American Academy of Actuaries preferred.
Minimum of 5-6 years of analysis experience related to health care or insurance. One year of experience may be granted for passage of at least one or more Society of Actuarial (SOA) exams or active in the Exam Program. 2 year of supervisory experience preferred. In-depth knowledge of managed care and medical products
Maintains proficiency and expertise in Health Plan data applications, state of the art business intelligence software and reporting tools that include, but are not limited to, MS SQL Server Components (Query Analyzer & coding, SSRS, Analysis Server, Stored Procedures, Jobs, and Functions), Business Objects (Tableau, Qlik, Crystal Reports, Crystal Enterprise, Crystal Analysis and OLAP), SAS, Microsoft Office (Word, Excel, PowerPoint, and Access) and grouper and predictive modeling software (3M and CGI) to prepare complex multi-factorial analysis. Synthesizes and Interprets analyses Must possess a comprehensive understanding of clinical or payer operational processes and ability to evaluate impacts on data compilation and reporting. Knowledge of healthcare coding structures and payment methodologies Understanding of relational database systems and uses.
Demonstrates strong mathematical, statistical, financial, technical, interpersonal, organizational, project management skills, and ability to maintain confidentiality. Demonstrated strong business acumen. Effective verbal and written communication and presentation skills appropriate for communication with both external clients and senior management. Demonstrated evidence of independent analytical and problem solving skills. Exceptional time management and organizational skills. Ability to effectively handle numerous priorities simultaneously. Demonstrated ability to identify problem areas and take initiative to identify and implement appropriate solutions, self-motivated.
We offer competitive compensation and outstanding comprehensive benefits including tuition reimbursement, 403B matching savings plan and a pension plan. If interested, please apply online at ****, Job ID 45320
Applicants must certify that they have not used tobacco products or nicotine in any form in the 90-days prior to submitting an application to **MEMBERS ONLY**SIGN UP NOW***.. This will be verified during pre-employment testing. We are an Equal Opportunity Employer. Please, no agency calls
Delaware Valley ACO 259 Radnor-Chester Rd Radnor 19087
H04097-Data Mngmnt and Analysis
Aug 3, 2018, 1:18:36 PM