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Actuarial Analyst III DVACO

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Actuarial
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61977 Requisition #

Description:
Could you be our next Actuarial Analyst III with the Delaware Valley Accountable Care Organization?

Why work as a Actuarial Analyst with Main Line Health?

  • Make an Impact! The Actuarial Analyst III is a remote position and responsible for interpreting data, leveraging analytical tools and making recommendations to key stakeholders at the DVACO and Jefferson (JHS) / Mainline Health (MLH) PODs. In this important role, you are seen as a subject matter expert and would lead DVACO governance committees and maintain ongoing relationships with all levels of management, key third party staff, internal constituents and external customers at participating CIN organizations to gather information, share data and effectively move projects forward. You would also provide supervisory guidance to less experienced analysts and proactively coach and mentor others throughout the system.
  • Develop and Grow your Career! Invest in furthering your education through seeking certifications or advanced degrees by taking advantage of our Tuition Reimbursement! This position is eligible for up to $6,000 per year based upon your Full or Part Time status.
  • Get Involved! Our Actuarial Analyst III’s work with and participate in educational overview session, product implementation and review sessions alongside DVACO Leadership, DVACO, JHS and MLH Analytics Staff, DVACO Care Coordinators, DVACO Practice Transformation Team, DVACO Operations Team, DVACO and POD Clinical teams.
  • Join the Team! Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a purpose: providing superior service and care.
  • Position-Specific Benefits include: You are eligible for up to 6 weeks of paid time off per year based on your Full or Part Time status. We also offer a number of employee discounts to various activities, services, and vendors... And employee parking is always free!

 

Position: Actuarial Analyst III - DVACO
Shift: 40hrs/wk M-F

Location: REMOTE

Experience:
1. Minimum of 5 years related professional work experience in a progressive healthcare or insurance setting required. (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. 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.
3. Must possess a comprehensive understanding of clinical or payer operational processes and ability to evaluate impacts on data compilation and reporting.
4. Knowledge of healthcare coding structures and payment methodologies.
5. Advanced programming in SAS, SQL Query Construction or other programming language.
6. Advanced understanding of relational database systems and uses.

Education:
BS required in Business, Mathematics, IT or data relevant field.

Licensures/Certifications:
N/A

 

 

 

Main Line Health (MLH) with over 10,000 employees, is suburban Philadelphia's most comprehensive health care resource, offering a full range of healthcare services. MLH is currently holds a System Magnet ® Designation for Nursing and has been repeatedly recognized as one of the Best Places to Work in the Greater Philadelphia area (Philadelphia Business Journal). Learn more about us.


Main Line Health is committed to the health and wellness of our employees. We offer competitive salaries, comprehensive benefits,  generous paid time off, 403b savings plan, lucrative pension plan, tuition reimbursement, and more! Learn more about our benefits.


We are an EOE/Veterans/Disabled/LGBTQ employer. Main Line Health celebrates our differences and our similarities. Learn more about our Diversity and Inclusion culture.

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