Senior Associate, Actuarial Services

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October 13

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Interwell Health

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Healthcare Insurance • Wellness

Interwell Health is a value-based kidney care provider that partners with physicians to revolutionize healthcare. The company focuses on offering expertise, compassion, and innovative strategies to set high standards within the kidney care industry. Interwell Health aims to slow disease progression and reduce hospitalizations, resulting in improved health outcomes and lower care costs for patients and payers. It has achieved NCQA Population Health Program Accreditation for its comprehensive patient engagement program, Interwell 360. With a decade of experience, Interwell Health manages financial risks and patient needs through a dual approach of patient care and provider enablement. The company collaborates with nephrologists, primary care providers, and payers, supported by a vast network of clinical and non-clinical staff dedicated to patient health.

501 - 1000 employees

⚕️ Healthcare Insurance

🧘 Wellness

💰 $46M Series B on 2021-04

📋 Description

• Performs assigned actuarial analysis tasks in support of pricing, reserving, provider contract development, and product development. • Assist in the development of pricing methodologies, analysis of the plan's risk pool and identification of trends in IWH's cost structure. • Support management in the financial feasibility of potential acquisitions, joint ventures, and startup businesses by providing complex analyses and financial models for diverse financial data. • Prepare presentations for review by management, board of directors, and diverse governing bodies by providing diverse financial data. • Development of revenue and medical claims expense models for evaluating and projecting risk-based contracts with health plan clients, ACOs, and government partners. • Drive decision-making around proposed contract changes and financial evaluation of specific contract terms. • Acts as a subject matter expert in medical economics in relation to Medicare and Managed Care. • Ensures data integrity is maintained throughout the reporting lifecycle. • Collaborate with Finance and other internal departments, including clinical, to analyze the financial value of vendor contracts.

🎯 Requirements

• 5-10 years related experience. • Strong computer skills with demonstrated proficiency in word processing, spreadsheet, presentation, database and email applications. • Strong interpersonal skills with the ability to lead effective and productive teams. • Excellent oral and written communication skills to effectively communicate with all levels of management. • Prior experience in multi-location environment within the healthcare industry preferred

🏖️ Benefits

• Paid time off • Commitment to diversity, equity, and inclusion