Hello, we’re Belong.
We partner with regional payers to deliver Medicare Advantage and Special Needs Plan products.With a dual focus on data-driven, proactive clinical intervention and unwaveringly empathetic patient experience, Belong has completely reimagined health insurance for seniors and other Medicare-eligible individuals who have been disregarded and deprioritized for far too long.We believe that only by recognizing individuals can we make communities strong.Belong Health. Kinder, more supportive care.
SUMMARY
The Associate Actuary - Trend and Revenue Analytics analyzes and forecasts financial, economic, risk, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Actuary works on problems of diverse scope and complexity ranging from moderate to substantial.
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES
- Consult with stakeholders to design, develop and maintain actuarial and financial analyses and toolsets.
- Ensures data integrity and financial report consistency by developing and executing necessary processes and controls around the flow of data.
- Advises executives to develop functional strategies (often segment specific) on matters of significance.
- Reviewing and providing feedback on the work of peers to ensure the highest quality of output and synchronization across the team.
- Understand and document the calculations and data flows related to the medical economics data being analyzed in the healthcare industry.
- Continuously improve processes and workflows related to actuarial analyses and report development in the healthcare industry.
- Support ad-hoc analytics requests and deliver insights to stakeholders.
- Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision.
- Strong analytical written, communications and presentation skills, ability to source interpret and present analytics in a thoughtful and meaningful manner.
- Create user stories and manage their development using Scrum and JIRA.
- Other duties as assigned.
SUPERVISORY RESPONSIBILITIES
This role does not have supervisory responsibilities.
REQUIRED PROFESSIONAL EXPERIENCE AND QUALIFICATIONS
- 4+ years’ experience in a managed care/health plan environment
- 2+ years’ experience with Medicare risk adjustment calculations and projections
- 3+ years’ experience with proficiency in SQL or snowflake
- Strong problem solving skills
- 2+ years’ experience working in a cloud environment.
- Ability to effectively communicate with business customers in the healthcare industry and translate their needs into technical requirements
- Proactive self-starter, quick-learner, flexible team-player, ability to work both independently and as part of a team
- Ability to multi-task, maintain strong attention to detail, and prioritize work within tight deadlines.
- Experience with data mapping and data flow documentation in the healthcare industry
PREFERRED PROFESSIONAL EXPERIENCE AND QUALIFICATIONS
- 2+ years of experience with BI tools such as Tableau, Power BI, or Qlik
- Familiarity with Scrum and JIRA
- Tableau Desktop Certified
EDUCATION AND TRAINING
- A bachelor’s degree or higher in a quantitative or technological / scientific discipline is required.
LICENSE AND CERTIFICATION
WORK ENVIRONMENT
The work environment characteristics described here are representative of those encountered while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually quiet. Most of the work is performed on a computer and in a sedentary environment.
TRAVEL
This role may require some travel based on business needs.
SALARY RANGE
Belong Health is an equal opportunity employer and encourages all applicants from every background and life experience to apply.Our organization participates in E-Verify to confirm the eligibility of employees to work in the United States. (Nuestra organización participa en E-Verify para confirmar la elegibilidad de los empleados para trabajar en los Estados Unidos.)
