Senior Actuary

Job Locations US-MA-Boston | US
Job Post Information* : Posted Date 1 month ago(9/24/2021 12:50 PM)
ID
2021-1593
# of Openings
1
Career Area
Accounting/Finance

Overview

Senior Actuary

 

This is a fulltime opportunity. 

 

Job Location: Boston, MA; will consider remote options 

 

Novocardia is on a mission to empower clinicians across the United States to consistently deliver higher-quality, prevention-focused, patient-centered care, and enable clinicians to be rewarded for focusing on these services for their patients, and delivering care now that avoids more advanced disease down the line.  

 

We are seeking a talented and experienced individual to join our growing team as a Senior Actuary.  This role affords a singular opportunity to work closely with a world-class team to help build a disruptive, mission-driven, physician-led clinical delivery organization from the ground up! 

 

Chronic disease is the dominant cause of avoidable healthcare spending and death in the United States and worldwide.  Fortunately, much of this disease burden and associated spending is potentially avoidable through delivery of more proactive, prevention-focused care.  Our founding team has decades of experience in clinical medicine, payer and provider leadership, government, data science, and clinical operations.  We are deeply passionate about improving care quality, and providing more Americans with access to great, evidence-based chronic disease care. We are also deeply committed to building more sustainable and durable payment models for this care – models that reward clinicians for delivering the right care, in the right place, at the right time.  

  

We are looking for high integrity, mission-oriented people who are passionate about improving the quality and value of chronic disease care in America, excited to join a dynamic, rapidly-growing, and diverse team, and want to build a disruptive, world-class business.  We are humble, ambitious, learning-oriented, focused on execution, and all in on this venture and vision.  Come join us!

 

Responsibilities

Primary Responsibilities

 

  • Lead actuarial analysis and services in support of claims analysis, financial projections, and pricing/product strategy
  • Leverage actuarial and analytic models to support the Company’s profit and growth objectives
  • Develop the organization's pricing structure by forecasting financial/statistical data in a manner that is actuarially sound and competitive in the marketplace
  • Initiate, manage, and participate in actuarial analyses designed to improve risk selection, pricing, and reserve setting, and support development of new products
  • Support development of provider fee schedules, capitation rates, gain sharing programs and other contractual arrangements
  • Advise and present information to senior managers and other stakeholders related to actuarial, financial, strategic, and business planning matters
  • Identify data requirements for analysis, tool development, reporting, and decision making
  • Develop, maintain, and optimize actuarial models that impact strategic and operational plans
  • Monitor developments in actuarial techniques, laws, and regulations
  • Develop other team members by setting objectives and providing guidance and feedback to strengthen knowledge/skills needed to accomplish tasks and perform effectively; invest time and resources into building the capabilities of other team members
  • Other duties as assigned

Qualifications

Required Qualifications

 

  • Bachelor's degree in Actuarial Science, Math, Economics, or related field
  • ASA or comparable actuarial education/designation combined with relevant experience
  • Extensive experience and proficiency leveraging SQL, including loading data, writing update and select statements, and joining tables
  • 3+ years of healthcare experience involving clinical systems (i.e., EHR, PACS, and digital imaging) and claims data (i.e., EDI) as well as extensive knowledge of CPT, ICD-10, DRG, and NDC codes
  • Extensive experience with Microsoft Office, including Excel and other office productivity applications to share and present analytic results
  • Analytical skills with solid understanding of all actuarial techniques, standards, and assumptions
  • Demonstrated ability to exchange ideas and convey complex information clearly and concisely, both verbally and in writing
  • Resourceful and assertive; ability to leverage resources across the organization to get things done, proactively seeks out help and clarification as needed
  • Ability to work independently and demonstrate initiative and problem-solving skills
  • Acts with honor, integrity, and a high level of professionalism
  • Excited to join a dynamic, high-integrity, mission-oriented, early-stage start-up company that is focused on improving care quality and building value-based reimbursement models

 

Preferred Qualifications

 

  • Fellow of the Society of Actuaries (FSA)
  • Experience with business intelligence tools such as Power BI and Tableau
  • Experience with statistical analysis tools such as SAS, Python, and R
  • Understanding of Medicare and Medicare Advantage

 

Novocardia provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to religion, race, creed, color, sex, sexual orientation, alienage or citizenship status, national origin, age, marital status, pregnancy, disability, veteran, or military status, predisposing genetic characteristics or any other characteristic protected by applicable federal, state, or local law. 

 

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