Actuarial Analyst

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Company: Altais, Inc.

Location: Oakland, CA 94601

Description:

About Our Company

At Altais, we're looking for bold and curious clinicians and innovators who share our passion for enabling better health care experiences and revolutionizing the healthcare system for physicians, advanced care providers, patients, and the clinical community. At Altais, we're building breakthrough clinical support tools, technology, and services to let doctors do what they do best: care for people. We invite you to join our growing passionate team as we change the game for the future of healthcare and enable the experience that people need and deserve. Altais family of companies include Brown & Toland Physicians, Family Care Specialists and Altais Medical Groups.

About Your Team

Are you looking to work with a high performing, fast growing and dynamic Finance team? We are 4,000+ physicians, working in over 40 cities throughout California, caring for more than 500,000 patients. If you are passionate about reshaping healthcare and want to work for a mission driven organization where new ideas and innovation are valued, then we would like to meet you.

About Your Work

An Actuarial Analyst is responsible on delivering quantitative analysis for financial, clinical, and network contracting in strategic initiatives, business development and unit cost management activities through financial modeling, analysis of utilization, and reporting. This role conducts unit cost and contract valuation analysis in support of payer and provider negotiations and medical cost management strategies, performance reporting, and associated and financial models and benchmarks.

The actuarial role is the lead in partnering with multi-faceted departments providing high level business intelligence and analytics requirements of varying disciplines. Advance skills in statistical analysis, reporting cycle, project management, customer service and consultative skills are critical to the success of this position.

As an Actuarial Analyst, you will be designated as a Hybrid employee. As a Hybrid employee, you will work from home most of the time.

You Will Focus On:
  • Performs analysis of actual financial and statistical results, completes financial forecast/planning, and applies analytical capabilities and business acumen to recommend courses of action that enable the business unit to meet its financial and business objectives.
  • Technical expert in data mining and extraction using a variety of software tools and sources to include but not limited to: electronic health record, eligibility, or claims data. Collects, analyzes, interprets, and presents comparative clinical and cost data, integrates benchmark information.
  • Independently identify, investigate, and communicate cost and utilization patterns for inefficiencies and potential opportunities to help reduce overall total cost of care.
  • Analyzes key trends and performance related to clinical programs, provider network performance, other programs or practices, and providers of health care.
  • Demonstrated ability to utilize benchmarking data, including internal metrics/targets, Milliman/MGC, MGMA and other sources to advise on best practices and integrated reporting.
  • Demonstrated ability to use of predictive analytics and actuarial techniques in modeling future costs of current and emerging products, programs, risk types and public health behavior.
  • Demonstrated analytical skills. Expert knowledge of Microsoft Access and Microsoft Excel; experience with business intelligence tools; and experience with analytic software packages. Advanced knowledge of SQL, BI tools, and data warehousing strategies for reporting purposes. Knowledge of EPIC a plus.
  • Demonstrated knowledge and capabilities to combine data and information from multiple sources, design actuarial techniques in modeling future cost or public health behavior.

The Skills, Experience & Education You Bring
  • Bachelor's degree in quantitative discipline such as accounting, engineering, economics, finance, statistics, or mathematics from an accredited program or similar.
  • Master's degree in business, health or public administration, management or similar.
  • 2 or more years of experience working with data and actuarial models.
  • 2 or more years of experience in the healthcare industry either working in a hospital, health plan or managed care environment preferred.
  • 2 or more years of experience in financial modeling in payer and provider negotiations and medical cost management strategies.
  • 2 or more years of experience in working in rapid cycle, decision support role in a very dynamic environment.
  • 2 or more years of experience working with data and actuarial models preferred.
  • 2 or more years of experience in financial modeling in payer and provider negotiations and medical cost management strategies preferred.
  • Working toward Associate of Society of Actuaries (ASA) certification - 1 or 2 exams completed.

You Share our Mission & Values
  • You are passionate about improving the healthcare experience and want to be part of the Altais mission.
  • You are bold and curious - willing to take risks, try new things and be creative.
  • You take pride in your work and are accountable for the quality of everything you do, holding yourself and others to a high standard.
  • You are compassionate and are known as someone who demonstrates emotional intelligence, considers others when making decisions and always tries to do the right thing.
  • You co-create, knowing that we can be better as a team than individuals. You work well with others, collaborating and valuing diversity of thought and perspective.
  • You build trust with your colleagues and customers by demonstrating that you are someone who values honesty and transparency.

Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate's starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.

The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate's qualifications, skills, experience, and geographic location. This base pay range is specific to California and can vary based on Bay Area, Metro LA, and Greater California regions which may not be applicable to other locations.

Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our 'CPRA Privacy Notice for California Employees and Applicants' to learn how we collect and process your personal information when you apply for a role with us.

Physical Requirements: Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of workday.

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

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