Actuarial Analyst Associate, Geisinger Health Plan (Work from Home United States)
Location: Danville, Pennsylvania
Type: Full Time
Internal Number: R-28916
Performs data analytics to provide leadership with strategic business intelligence around financial and operational performance. Compiles claims, enrollment, revenue, and other statistical data to use in assigned projects. With supervision and guidance from senior team members, the analyst conducts data analysis, performs financial modeling and designs reporting to support the Health Plan requirements and initiatives. Participates in the communication of summarized results to stakeholders via written narratives, graphical representations, and presentations. This position may support initiatives for internal or external/government stakeholders and/or strategic business partners.
Provides analytical and technical support for assigned projects using data analysis tools and software.
Performs analyses by utilizing a wide-range of quantitative and qualitative data sets, models, and publications (regulations, guidelines, business rules, reporting requirements and standards), as directed.
Analyzes data output to identify and interpret trends or patterns in complex data sets.
Applies business, statistical, and actuarial concepts (Credibility, Simulation, Frequency, Severity) to help support and enhance decision making.
With guidance, synthesizes information to create and deliver clear, precise, and actionable information to stakeholders.
This information may be delivered in writing or through verbal summaries and dashboards and reports and presentations.
Participates in validation and exchange of data provided to and received from other departments, strategic business partners, or other external parties.
Executes, validates, and maintains routine reporting assignments, including policy and procedure and Model Audit Rule documentation.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
Knowledge of or experience with value-based contracting or payer/provider relationships
Bachelor's Degree-Related Field of Study (Required)
Minimum of 1 year-Healthcare (Preferred)
Certification(s) and License(s)
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh FoodFarmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencingprograms, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 1...3 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers. What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.