Source Job

• Proactively provides resources, information, advice, and expertise with coworkers and stakeholders.
• Completes work assignments by applying up-to-date expertise within the Commercial Pharmacy Benefit.
• Supports actuarial documentation by preparing and reviewing the actuarial portion of financial reports.

Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly and fairly. They identify the top-fitting candidates and share this list with the hiring company who manages the final decision.

• Maintain internal CMS HCC and RxHCC models for calculating member level risk scores.
• Support the monthly close process, including the development of actuarial risk adjusted revenue accruals and analysis of results.
• Build reports to track ROI on various risk adjustment initiatives.

Clover Health is reinventing health insurance by combining the power of data with human empathy to keep their members healthier. They are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

• Develop tools to measure the performance of value-based arrangements.
• Partner with the Healthcare Economics team to report revenue trends.
• Analyze profitability to inform strategic recommendations to senior leadership.

Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that reimagines care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, working alongside families, providers, and health plans.

• Develop tools to measure value-based performance and insights.
• Collaborate with teams to evaluate new business opportunities.
• Analyze profitability to inform strategic recommendations to leadership.

Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs, delivering virtual and in-home care. They enhance existing care teams with compassion and commitment to children with medical complexity.

• Developing and calibrating personal lines products.
• Assisting with rate filings and DOI correspondence.
• Analyzing key performance indicators and drivers of profitability.

Openly is rebuilding insurance from the ground up, re-envisioning and enhancing every aspect of the customer experience. They are a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product and more.

• Contribute to the comprehensive risk management program.
• Collaborate with various departments to ensure timely financial transactions and effective claims management.
• Aid in budget forecasting and reporting.

Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements. This system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.

• Assists in handling coverage applications and claims processes.
• Helps share complex information about life and accident benefits.
• Operates professionally while helping with sensitive situations.

PEHP Health & Benefits, a division of the Utah Retirement Systems, provides medical, dental, life, and long-term disability insurance plans. They are a government entity committed to customer value, market excellence, and healthcare improvement, offering competitive salaries, generous benefits, and work-life balance.