Compile and organize healthcare data; Analyze data, HCC trends, risk score improvement opportunities and the business impact of each to assist in developing optimal care management and decision making; Use healthcare data to assist in administrative and operational goals; Investigate data to find patterns and trends; Utilize different data sources for analysis; Develop reports and presentations; Communicate analytics insights to management
Requirements:
Bachelor’s degree in Actuarial Science, Math, Statistics, Finance, Management information systems or other related focus; 3 years of experience using Excel (Visualization, Pivot Tables, Summarizing), Database manipulation in SQL (Updates, Joins, Data types), Financial Analysis (Trending vs. Actual), Working with Project Managers and Technical Groups; Experience and in-depth knowledge of the CMS Hierarchical condition category (HCC) model including calculating individual risk scores based on claim data
Text:
Senior Actuarial Analyst Compile and organize healthcare data; Analyze data, HCC trends, risk score improvement opportunities and the business impact of each to assist in developing optimal care management and decision making; Use healthcare data to assist in administrative and operational goals; Investigate data to find patterns and trends; Utilize different data sources for analysis; Develop reports and presentations; Communicate analytics insights to management Bachelor’s degree in Actuarial Science, Math, Statistics, Finance, Management information systems or other related focus; 3 years of experience using Excel (Visualization, Pivot Tables, Summarizing), Database manipulation in SQL (Updates, Joins, Data types), Financial Analysis (Trending vs. Actual), Working with Project Managers and Technical Groups; Experience and in-depth knowledge of the CMS Hierarchical condition category (HCC) model including calculating individual risk scores based on claim data
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