Job Summary
A healthcare provider is searching for a person to fill their position for a Remote Alternative Payment Models Actuary in Boston.
Candidates will be responsible for the following:
- Developing and maintaining ROI analysis including identification of costs and benefits
- Designing and implementing total care model to source medical and PD data
- Leading and coordinating utilization and pricing analysis that ensures appropriate claims on contracts
Position Requirements Include:
- Bachelor’s Degree in behavioral health, medical, or health administrative field
- ASA (Associate of Society of Actuaries) OR 4+ exams
- 5 years of experience in health insurance
- 2+ years working with MS SQL Server
- Leadership and strategic planning
- “Intermediate to Expert level” computer skills to manage projects
