Senior Manager, APM Modeling & Analytics

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🕒 Março 23

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $160.000 - $180.000 / ano

⏰ Tempo Integral

🟠 Sênior

👔 Gerente

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Arcadia

SiteLinkedInTodas as Vagas

201 - 500 funcionários

💰 $29.500.000 Venture Round em 2020-01

A Arcadia é dedicada a dias mais felizes e saudáveis para todos. Transformamos dados diversos em uma estrutura unificada para a saúde. Nossa plataforma oferece insights acionáveis para nossos clientes avançarem no cuidado e na pesquisa, impulsionarem o crescimento estratégico e alcançarem sucesso financeiro. Para mais informações, visite arcadia.io.

Descrição

• Own end-to-end financial modeling for CMS LEAD and other APMs • Translate CMS technical specifications into production-grade actuarial models • Develop and maintain benchmark, attribution, risk adjustment, and reconciliation logic • Ensure integrity of actuarial inputs (e.g., underwriting methodology, pricing assumptions) in value-based contract modeling • Identify model vulnerabilities and proactively mitigate financial exposure • Work directly with CMS VRDC data environments to extract, structure, and analyze Medicare claims and enrollment data • Write production-level SAS and Python code to: • Process large claims datasets • Facilitate risk-adjustments • Calculate, risk adjust, and project PMPM benchmarks • Run sensitivity testing • Conduct reconciliation and true-up calculations • Ensure compliance with CMS methodological guidance • Validate data integrity prior to model production • Establish independent validation standards and ensure consistent adherence to these standards across the enterprise • Create automated testing scripts and exception reporting to implement validation checks, parallel runs, and reconciliation frameworks • Maintain version control, documentation, and auditability of all models at a sufficiently robust level to enable audits or CMS review

🎯 Requisitos

• Bachelor's Degree in related Data Science, Actuarial Science, Finance, Economics or related field • Minimum of 6 years of healthcare experience, with a focus on CMS APMs, value-based contracting and analytics • Strong accountability, intellectual curiosity, and customer satisfaction mindset • Experience modeling and evaluating key financial parameters within value-based contracts for health plan or provider • Experience with database querying (SAS, SQL, Python), Amazon Quick Site or BI Tool equivalent

🏖️ Benefícios

• Opportunity to lead Arcadia’s most high-profile client partnerships, influencing the direction of our actuarial strategy and product innovation • A seat at the table with Arcadia’s executive leadership, shaping the future of value-based care analytics in the U.S. • Direct access to one of the industry’s largest and most comprehensive healthcare data assets to support groundbreaking actuarial work • A mission-driven culture with the agility of a tech company and the stability of a market leader • A flexible, remote friendly company with personality and heart • Employee driven programs and initiatives for personal and professional development • Be a member of the Arcadian and Barkadian Community