3 days old
2018-08-172018-09-15

ACTUARIAL ANALYST - (35463)

Universal Health Services
RENO, NV
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  • Job Code
    35463
  • Jobs Rated
    10th
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Job Details


ACTUARIAL ANALYST - (35463)

Facility Name
Prominence Health Plan
Location
RENO, NV 89502 US (Primary)
Career Area
Professional
Category
Operations
Job Description

Founded in 1978, Universal Health Services, Inc. (UHS)* is one of the nation’s largest and most respected healthcare management companies, operating through its subsidiaries—acute care hospitals, behavioral health facilities and ambulatory centers nationwide. With more than 74,000 people employed by UHS subsidiaries, UHS’s business strategy is to continue to grow by building or purchasing healthcare facilities across the country, while continuing to strengthen UHS’s well-reputed franchise with its customary exceptional service and effective cost control. Our success is driven by a service philosophy based on integrity, competence, compassion, and a responsive management style. UHS has been recognized as a Fortune 500 company and is listed as one of Fortune’s Most Admired Companies. UHS’s Acute Care Division is comprised of 25 high performing hospitals and several ambulatory care facilities across the nation and prides itself on providing superior patient care. 

Prominence Health Plan, established in Reno in 1993 as St. Mary’s Health Plan, was acquired in 2014 by Universal Health Services (UHS), one of Fortune Most Admired Companies. 

In addition to the HMO, Prominence Health Plan also offers Point of Service health plans, a preferred health insurance company that offers Preferred Provider Organization (PPO) health plans, and CDS Group Health, a third-party administrator.

We are a fast-growing, rapidly-changing healthcare organization offering the excitement of a start-up with the support of a Fortune 500 company. We are looking for talented, enthusiastic people to help shape the future of our organization.

Job Summary:  The Actuarial Analyst works primarily with Prominence Health Plan stakeholders in developing, defining, and communicating analytics related to researching and analyzing drivers of business performance. Key focus areas of this position include: responsibility for the financial reserve process and check registry reconciliation, evaluating and adjusting product pricing and benefit designs, and various statistical analysis related to optimization of Risk Adjusted Revenue.

The Actuarial Analyst will provide accurate and timely analytical support to Prominence stakeholders related to company-wide strategic decision making, revenues, and medical costs. The incumbent will be skilled in both data aggregation and managed care specific acumen to be able to interpret and communicate data, findings and provide accurate recommendation as required to leadership team. At times, this will require the ability to interpret the internal customer’s needs or situation and create an applicable solution. The Analyst will work across multiple business units and will be tasked with duties which bridge the gap between Information Technology and business objectives, partnering with various stakeholders to develop requested data and reports.

Job Requirements

Regulatory Requirements:

•    Education: Bachelor’s degree in Finance, Accounting, Economics, Math, Statistics or related field. Master’s Degree preferred.

•    Experience: 3 - 5 years’ experience in Medical Economics, Financial Analysis, or Healthcare Cost Analysis. Health care/Managed care experience preferred.
 

Language Skills:

  • Ability to effectively communicate in English, both verbally and in writing.

 

Knowledge, Skills, and Abilities:

•    Knowledge of health care medical economics from a health plan perspective

•    Experience analyzing large sets of data, preferably medical cost data

•    Must be able to work independently; providing management with status updates

•    Multi-task; establish priorities personally and for other staff
•    Self-starter, resourceful and able to execute projects in a fluid and fast paced environment

•    Good organization, management, communication and reporting skills

•    SQL experience and familiarity for data retrieval and reporting purposes
•    Understanding and familiarity with data warehouse platforms and tools
•    Ability to research complex data models and understand end business needs. Must be able to create reports from scratch for the purpose of directing business and operational decisions.

•    Familiarity with standard financial and operational concepts, as well as an understanding of healthcare finance needed.

•    Excellent Microsoft Office skills (Excel, Word, Access, Visio, Power-point, Publisher, etc.)

•    Experience using data analysis software (i.e., SAS, SPSS, SQL, Python, R, etc.) and health care analytical tools such as Verisk, Crimson Pop Health, Deerwalk, or similar tools

•    Experience with working data visualization tools such Qlik, SSAS, Tableau is a plus

 

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ACTUARIAL ANALYST - (35463)

Universal Health Services
RENO, NV
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Actuary
10th2018 - Actuary
Overall Rating: 10/220
Median Salary: $100,610

Work Environment
Very Good
9/220
Stress
Low
76/220
Growth
Very Good
26/220
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