Actuarial Consultant, Surest / UHC Provider & Network Analytics - Remote (New York, NY preferred)
Tasks
- Analyze healthcare claims enrollment provider and financial data
- Build validate and maintain actuarial models and analytical datasets
- Conduct quality review peer review and governance for deliverables
- Develop dashboards and recurring reporting
- Develop methodology for provider evaluation benchmarking and network performance
- Document assumptions methods and limitations
- Improve analytical workflows automation and reproducibility
- Support provider evaluation analytics
- Translate analytical findings into business recommendations
Perks/Benefits
Skills/Tech-stack
Automated reporting | Claims Analysis | Cloud Data | Cost analysis | Dashboard Development | Data Analysis | Data Modeling | Databricks | Excel | Healthcare Analytics | Medical Cost Analysis | Network Analytics | Provider Benchmarking | Python | R | Reproducible reporting | Reserving | Risk adjustment | SAS | SQL | Spark | Utilization analysis | Value-Based Care | Value-based
Education
Bachelor of Engineering | Bachelor of Science | Master of Science
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