Similar Jobs
See allSenior Economist, Healthcare Innovations
American Institutes for Research
US
Statistical Analysis
Proposal Writing
Project Management
Data Analyst, Value-Based Care Analytics
Counterpart Health
USA
SQL
Healthcare Data Analytics
Data Storytelling
Senior Consultant
Lumanity
US
Statistics
Financial Analyst I
HMH Hospitals Corporation
US
Finance
EPIC
Reporting
Payer Enrollment Specialist
Experity
US
Analytical Skills
Payer Enrollment
Communication
Position Summary:
- Lead the Managed Care Contracting & Medical Economics business unit.
- Conduct quantitative analysis to determine organizational risks in value-based care programs.
- Engage with payor partners on negotiating FFS and value-based arrangements.
Responsibilities:
- Apply quantitative analysis to underwrite risk across various value-based care contracts.
- Use databases and tools to build sensitivity models and evaluate risk propensity.
- Develop IBNR models from claims data to predict future paid claims.
Qualifications:
- Bachelor’s degree in actuarial science, healthcare economics, or related field.
- ASA or FSA designation required or progress toward it.
- Experience in client-facing roles with health insurance products.
Salud Healthcare
Salud Healthcare transforms value-based care delivery by empowering provider organizations with data-driven insights and technology. As a rapidly growing Management Services Organization, it partners with physician groups to improve patient outcomes and optimize clinical performance.