Senior Manager, APM Modeling & Analytics

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🕒 vor 4 Monaten

🇺🇸 Vereinigte Staaten – Remote

💵 $160.000 - $180.000 / Jahr

⏰ Vollzeit

🟠 Senior

👔 Manager

🦅 H1B-Visum-Sponsor

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Arcadia

WebsiteLinkedInAlle Stellen

201 - 500 Mitarbeiter

🏥 Gesundheitswesen

💼 Beratung

💰 €29.500.000 Venture Round im 2020-01

Healthcare • Consulting

Arcadia widmet sich glücklicheren und gesünderen Tagen für alle. Wir verwandeln vielfältige Daten in ein einheitliches Gewebe für die Gesundheit. Unsere Plattform liefert umsetzbare Einblicke für unsere Kunden, um die Pflege und Forschung voranzutreiben, strategisches Wachstum zu fördern und finanziellen Erfolg zu erzielen. Für weitere Informationen besuchen Sie arcadia.io.

Beschreibung

• 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

🎯 Anforderungen

• 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

🏖️ Vorteile

• 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