Address
Form of workJob Description:
Provides direction and oversight of the development and maintenance of all necessary data, analyses, tools, reports, rating, and reimbursement structures, etc., needed to support the products and services offered and the associated business decisions. Specifically focused on provider contract analysis and the impact on medical claims trend.
Job Description
Essential:
Provides direction and oversight of development, analysis, and reporting of facility, physician, and other provider reimbursement structures, models, and service utilization information. Mentors staff and provides expertise on difficult situations and problems. Provides direction and oversight for the development and maintenance of analysis, forecasting, and reporting of claims experience and trends, both in aggregate and various components. Helps analyze and develop financial statement reserves and other liabilities, contingent settlements, incentive and risk-share payments, reinsurance claims and other third-party claims and liabilities, etc. Provides input and support for internal and external audits and reporting. Provides direction and oversight of development and maintenance of analysis, forecasting, and reporting of budget projection inputs, both in aggregate and various components as related to medical unit cost and utilization. Designs, develops, and maintains data extracts and complex queries and on-line data analysis and reporting tools. Mentors staff and provides expertise on difficult situations and problems.
What makes you the BEST candidate:
#SelectHealth
Minimum Qualifications
Bachelor's degree in math, statistics, computer science, economics or finance obtained through an accredited institution. Education is verified.
ASA and eight years of relevant actuarial experience or FSA and five years of relevant actuarial experience.
- and -
Intermediate skills with word processing, spreadsheets, databases, and analytic software (e.g. SQL, SAS, etc.).
Preferred Qualifications
Knowledge of health insurance products.
Knowledge of provider contracts with health plans and the impact on health insurance premiums.
Understanding of underlying theory and effects of assumptions used in product development and maintenance.
Physical Requirements:
SH only
Manual dexterity, seeing, hearing, speaking.
Anticipated job posting close date:
04/01/2024
Location:
SelectHealth - Murray
Work City:
Murray
Work State:
Utah
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$48.16 - $75.81
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers; and our commitment to diversity, equity, and inclusion.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Provides direction and oversight of the development and maintenance of all necessary data, analyses, tools, reports, rating, and reimbursement structures, etc., needed to support the products and services offered and the associated business decisions. Specifically focused on provider contract analysis and the impact on medical claims trend.
Job Description
Essential:
Provides direction and oversight of development, analysis, and reporting of facility, physician, and other provider reimbursement structures, models, and service utilization information. Mentors staff and provides expertise on difficult situations and problems. Provides direction and oversight for the development and maintenance of analysis, forecasting, and reporting of claims experience and trends, both in aggregate and various components. Helps analyze and develop financial statement reserves and other liabilities, contingent settlements, incentive and risk-share payments, reinsurance claims and other third-party claims and liabilities, etc. Provides input and support for internal and external audits and reporting. Provides direction and oversight of development and maintenance of analysis, forecasting, and reporting of budget projection inputs, both in aggregate and various components as related to medical unit cost and utilization. Designs, develops, and maintains data extracts and complex queries and on-line data analysis and reporting tools. Mentors staff and provides expertise on difficult situations and problems.
What makes you the BEST candidate:
- Great history with health plans
- Actuarial experience within healthcare
- Experience leading projects
- Having a network with cost relativity models to identify strategic opportunities
- Ability to provide in depth analysis and modeling to illustrate rate impacts
#SelectHealth
Minimum Qualifications
Bachelor's degree in math, statistics, computer science, economics or finance obtained through an accredited institution. Education is verified.
ASA and eight years of relevant actuarial experience or FSA and five years of relevant actuarial experience.
- and -
Intermediate skills with word processing, spreadsheets, databases, and analytic software (e.g. SQL, SAS, etc.).
Preferred Qualifications
Knowledge of health insurance products.
Knowledge of provider contracts with health plans and the impact on health insurance premiums.
Understanding of underlying theory and effects of assumptions used in product development and maintenance.
Physical Requirements:
SH only
Manual dexterity, seeing, hearing, speaking.
Anticipated job posting close date:
04/01/2024
Location:
SelectHealth - Murray
Work City:
Murray
Work State:
Utah
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$48.16 - $75.81
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers; and our commitment to diversity, equity, and inclusion.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
