Certilytics is an innovative company with a dynamic infusion of actuarial, data and behavioral scientists, IT engineers, software developers, nurse clinicians, as well as experts in public health and health insurance industry. We are creating new groundbreaking analytic products within the healthcare space and are presenting a great opportunity for qualified candidates to come on board.
Actuarial Analysts are responsible for providing analytics insights to customers using big data skills, reports, dashboards and models. They will help design and build best-in-class products through their knowledge of the health care marketplace. If you are someone who doesn’t shy away from rolling up your sleeves and diving in, this position may be for you.
The Associate Actuary will:
- Participate in Product Design meetings, and assist in the product design, development and testing process
- Manipulate and analyze complex, high-volume, high-dimensionality data from multiple sources using a variety of tools and analytic techniques to create insights for internal and external customers
- Apply knowledge of actuarial, financial and underwriting concepts and use advanced analytic techniques to develop reports, dashboards, and products for customers
- Assist with the development of reports and projects, including documenting methodology, writing business requirements, and making recommendations based upon data analysis
- Identify complex healthcare data problems or issues, researches solutions, and implement steps to achieve higher level of efficiency for Certilytics analytic product offerings
- Provides analytical support to the Product Design, Data Science, Clinical, Data Logistics, and Operational Teams
- Conduct research and perform root cause analysis as part of responsibility for analytics projects
- All other duties as assigned.
- Bachelor’s degree in Actuarial Science, Mathematics, Economics, Statistics, Finance or related field.
- A minimum of 4 years actuarial or health care data analytics experience.
- Understanding of healthcare industry actuarial concepts, including trend, risk adjustment, care management, provider contracting, product pricing, underwriting principles and stop-loss is preferred
- Understanding of managed care data concepts and terms including pmpm, CPT, ICD10 coding, HCPCS, DRG, and NDC
- Understanding of healthcare operations from perspective of employer, payer, PBM and provider.
- Proficiency with Microsoft Office and SQL.
- Strong actuarial, analytical and problem-solving skills.
- Knowledge of Medicare and Medicaid lines of business preferred
- Taking actuarial exams towards ASA designation is preferred but not required
- Strong organizational and prioritization skills.
- Strong interpersonal and communication (verbal & written) skills.
- Ability to communicate business and technical information to people of various backgrounds.
- Ability to work under pressure and tight deadlines.
- Works in a well-lighted/ventilated office area with some changes of temperature, as well as throughout the premises. Associate will spend majority of the time indoors.
- Prolonged sitting at a computer with some standing and bending intermittently during work hours.
- Is subject to frequent interruptions.
- Ability to move arms, hands, and fingers to type.
- Close vision required for computer monitors. Travel to corporate, customer, sales, and industry meetings