• Job Description

  Req#: 2806852

  Equality Health, LLC is a Phoenix-based whole-health delivery system focused on transforming value-based care delivery with population specific programs that improve access, quality, and member trust. Our mission is to ensure diverse populations receive quality healthcare that improves and enriches their lives. Through an integrated technology and services platform, culturally competent provider network and personalized care model, Equality Health helps managed care plans and health systems improve outcomes for diverse populations while simultaneously making the transition to risk-based accountability.

  About the Role:

  The Actuarial Analyst is primarily responsible for core actuarial functions for Equality Health’s clients, including contract pricing, trend analyses, claims reserves, and forecasts/budgets. In addition, this individual provides ad-hoc analyses and supports internal reporting to help manage the business (both in existing markets as well as expansion into new markets). To enhance Equality’s focus on provider-based quality performance (HEDIS for Medicaid, Stars for Medicare), this individual will also monitor and project quality performance. Finally, this individual will maintain relationships with their client counterparts to ensure effective communication of processes and potential issues.

  Responsibilities:

  • Support the process of monitoring and reporting payer performance across financial and utilization metrics, and identify improvement opportunities to drive strong performance under value-based contracts
  • Communicate report findings to internal stakeholders and external payer groups
  • Grow understanding of existing actuarial, analytical and statistical approaches and algorithms to help develop proprietary analytical tools
  • Partner closely with the Account Management, Finance, and Clinical & Quality Operations teams to identify opportunities to leverage data and analytics in support of their functions
  • Introduce innovation with an eye toward accelerating business outcomes through real-time analytics, trend analysis, and other advanced data analysis techniques

  Required Knowledge, Education & Experience:

  • Bachelor’s degree in Mathematics, Statistics, Economics, or a related field of study
  • Minimum one (1) years of full-time experience, or 2+ internships, in a directly related position with responsibility for data interpretation, analytics and reporting in the healthcare industry
  • Demonstrated technical knowledge of relational databases (SQL server), querying, data warehouses, and decision support tools
  • Intermediate to advanced proficiency of MS Excel
  • Demonstrated analytical and technical skills with the ability to mine data from multiple healthcare data sources (e.g., medical claims, eligibility, pharmacy scripts, EMRs, quality metrics, care coordination programs)
  • Demonstrated familiarity with standard healthcare metrics/taxonomies (e.g., PMPMs, gross margin, MLR, risk score)
  • Strong verbal, written and interpersonal communication skills; highly collaborative team approach to work

  Highly Preferred Skills, Abilities & Qualifications:

  • Pursuing Associate of the Society of Actuaries designation (1+ exams passed)
  • Demonstrate skills in critical thinking, analysis and systems thinking
  • Capacity to thrive in a fast-paced environment, find comfort in chaos, and absorb information quickly to create a plan around key initiatives and provides ongoing project management
  • Successful record of managing multiple projects with demonstrated ability to work independently in rapidly-changing environments
  • Positive attitude; proactive, nimble, creative and flexible in thought; able to adapt to a complex environment and balance between speed to value

  A Great Fit - Those successful in the role will have the following attributes:

  • Driven by our mission – You have a personal connection to our mission.
  • Urgency and Focus – You learn rapidly and eagerly and work with a sense of urgency while ensuring alignment to our priorities.
  • Unity and Collaboration – You seek what is best for EQH and are ego-less in your search for the best ideas.
  • Deliver on your work – You take on commitments, tackle the obstacles, and do what it takes to deliver impact. You focus on driving great results. If you have an issue or need help, you notify early.
  • Walk the talk – You do what you say you will do. You recognize the importance of your leadership shadow.
  • Challenge the status quo – You prefer to take the road less traveled and are motivated to be a healthcare “rebel”.
  • Change agile – You recognize that flexibility and agility are hallmark traits for high growth companies.

  The Fatal Flaws – you will not succeed in this role if you demonstrate the following behaviors/mindsets, among others:

  • Lone Wolf – We’re a high performing team that expects all on the team to act like a founder – grab loose balls, jump in from the sidelines and offer help; and take pride in the accomplishments of the organization, team, and yourself.
  • Dislike Ambiguity – You like comfort rather than challenge. You desire your days and work to be highly structured and defined.
  • Risk Averse – You hesitate to make decisions because you fear being wrong.

• About the company

  Equality Health is an integrated, holistic and tech-enabled healthcare delivery system focused on improving the health of diverse populations.

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