Actuarial Dir, Clinical Intelligence Analytics
About AccoladeAccolade (Nasdaq:
ACCD) provides millions of people and their families with an exceptional healthcare experience that is personal, data driven and value based to help every person live their healthiest life.
Accolade solutions combine virtual primary care, mental health support and expert medical opinion services with intelligent technology and best-in-class care navigation.
Accolade s Personalized Healthcare approach puts humanity back in healthcare by building relationships that connect people and their families to the right care at the right time to improve outcomes, lower costs and deliver consumer satisfaction.
Accolade consistently receives consumer satisfaction ratings over 90%.
For more information, visit accolade.
com.
Accolade is currently recruiting for a Full Time Actuarial Director for our Clinical Intelligence Analytic team.
Applicants will be required to work 8am to 5pm CST.
As a Actuarial Director, you will work closely with Actuarial, Finance, and the clinical operational team to support dashboard building, clinical analytics, and the evaluation of the financial and other values of Accolade s solutions and services.
This individual will collaborate with other technology, engineering, Actuarial and analytic professionals to extract data figures from multiple data warehouses, create reports based on their findings, communicate key findings and impacts to senior leaderships, and monitor key performance indicators (KPIs) to determine business initiatives success.
An ideal candidate should have extensive experience working for health plans within Actuarial pricing and claims data analytic spaces.
Someone with strong passion working with complex healthcare data, have an eye for process improvements and enjoy leading people with influence, projects and presenting their work to senior leadership.
In this role you will:
Be responsible for clinical program impact & cost saving evaluations, population health metric design and member traits evaluation, medical claims and pharmacy claims utilization evaluation, clinical operation performance measurement, clinical intervention program evaluation from a member experience and patient outcome perspective, as well as ROI studies, reporting and dashboard building using excel, Sisense and other cloud-based tools.
Society of Actuaries actuarial designation of ASAHave 10 years
experience working in the health care space in the US.
Strong Actuarial skills to model health plan network, membership, plan benefit designs, medical and pharmacy claims trends, unit cost understanding of various healthcare service types, and prior authorization analytics.
Design and run complex data programs to perform mathematical analyses and actuarial modeling.
Deep understanding of complex healthcare claims and membership database structures and ability to work with large datasets with various joints plus data transformation methodologies.
Strong written and oral communications skills.
Communication and explain findings and trends to technical and non-technical audiences.
Establish new KPIs to measure effectiveness of business process, business practice and decisions.
Create report and presentation for projects, summarize recommendations and findings.
Work collaboratively with members of our clinical team, data team, engineering team, client management team and sales team.
Identify and implement informatics strategies to support health outcomes, patient outreach and organizational performance.
Intermediate skills in Microsoft Excel, VBA, SQL, R, Python, and SAS (or other program languages that is similar).
Strong analytical and problem-solving skills.
To be successful in this role you will need:
Minimum of 10 years of experience in data analytics.
Have good understanding of prior authorization, medical claims and pharmacy claims data, from how provider bills these claims to how they get adjudicated by the payers.
Population health knowledge and prior work experience is preferred, not requiredHealth insurance work experience is required.
Strong oral and written communication skillsAbility to manage and complete multiple projects within established deadlines, with minimal supervision.
Attention to detail, enjoys working with large amount of data closely and debug formula and code errors.
Thinking outside the box, enjoy taking on new challenges and work through assignments with high-level guidance from leadership.
Team player and self-motivator.
Thrives to achieve above and beyond average.
Flexible and friendly work attitude and mindset, willing to jump onto projects to assist other team members when needed.
Bachelors degree in mathematics, actuarial science, data engineering, data science or computer science preferred.
Hiring Range$170200-$198600AnnualActual compensation packages within that range are based on a wide array of factors unique to each candidate, including but not limited to skill set, years and depth of experience, certifications, and specific location.
BenefitsComprehensive medical, dental, vision, life, and disability benefits, including access to Accolade Advocacy, Accolade Care, and Accolade EMO.
HDHP medical plan with generous employer contributions towards an HSA401(k) Retirement Plan with matching employer contributionsOpen Time OffGenerous Holiday Schedule
5 floating holidays18 weeks of paid parental leaveSubsidized commuter benefits programsVirtual access to coaching, self-care activities, and video-based therapy and psychiatry through Ginger1 Volunteer days per yearEmployee Stock Purchase Plan (ESPP) w/ employee discountWe strongly encourage you to be vaccinated against COVID-19.
What is important to usCreating an enduring company that is hyper-focused on our culture and making a meaningful impact in the lives of our employees, members and customers.
The secret to our success is:
We find joy and purpose in serving othersMaking a difference in our members and customers lives is what we do.
Even when it s hard, we do the right thing for the right reasons.
We are strong individually and together, we re powerfulTrusting in our colleagues and embracing their different backgrounds and experiences enable us to solve tough problems in creative ways, having fun along the way.
We roll up our sleeves and get stuff doneResults motivate us.
And we aren't afraid of the hard work or tough decisions needed to get us there.
We re boldly and relentlessly reinventing healthcareWe're curious and act big -- not afraid to knock down barriers or take calculated risks to change the world, one person at a time.
Accolade is an Equal Opportunity and Affirmative Action Employer committed to advancing an inclusive environment for all qualified applicants and employees.
We provide employment opportunities, without regard, to any legally protected status in accordance with applicable laws in the US.
We are committed to help ensure you have a comfortable and positive interview experience.
Accolade, Inc.
, PlushCare, Inc.
, and Accolade 2ndMD LLC will never ask you to pay to get a job.
Anyone who does this is a scammer.
Further, we will never send you a check and ask you to send on part of the money or buy gift cards with it.
These are also scams.
If you see or lose money to a job scam, report it to the Federal Trade Commission at ReportFraud.
ftc.
gov.
You can also report it to your state attorney general.
To review our policy around data use, visit our Accolade Privacy Policy Page.
All your information will be kept confidential according to EEO guidelines.
AccoladeSummaryLocation:
Remote; Houston, TXType:
Full time.
Estimated Salary: $20 to $28 per hour based on qualifications.
ACCD) provides millions of people and their families with an exceptional healthcare experience that is personal, data driven and value based to help every person live their healthiest life.
Accolade solutions combine virtual primary care, mental health support and expert medical opinion services with intelligent technology and best-in-class care navigation.
Accolade s Personalized Healthcare approach puts humanity back in healthcare by building relationships that connect people and their families to the right care at the right time to improve outcomes, lower costs and deliver consumer satisfaction.
Accolade consistently receives consumer satisfaction ratings over 90%.
For more information, visit accolade.
com.
Accolade is currently recruiting for a Full Time Actuarial Director for our Clinical Intelligence Analytic team.
Applicants will be required to work 8am to 5pm CST.
As a Actuarial Director, you will work closely with Actuarial, Finance, and the clinical operational team to support dashboard building, clinical analytics, and the evaluation of the financial and other values of Accolade s solutions and services.
This individual will collaborate with other technology, engineering, Actuarial and analytic professionals to extract data figures from multiple data warehouses, create reports based on their findings, communicate key findings and impacts to senior leaderships, and monitor key performance indicators (KPIs) to determine business initiatives success.
An ideal candidate should have extensive experience working for health plans within Actuarial pricing and claims data analytic spaces.
Someone with strong passion working with complex healthcare data, have an eye for process improvements and enjoy leading people with influence, projects and presenting their work to senior leadership.
In this role you will:
Be responsible for clinical program impact & cost saving evaluations, population health metric design and member traits evaluation, medical claims and pharmacy claims utilization evaluation, clinical operation performance measurement, clinical intervention program evaluation from a member experience and patient outcome perspective, as well as ROI studies, reporting and dashboard building using excel, Sisense and other cloud-based tools.
Society of Actuaries actuarial designation of ASAHave 10 years
experience working in the health care space in the US.
Strong Actuarial skills to model health plan network, membership, plan benefit designs, medical and pharmacy claims trends, unit cost understanding of various healthcare service types, and prior authorization analytics.
Design and run complex data programs to perform mathematical analyses and actuarial modeling.
Deep understanding of complex healthcare claims and membership database structures and ability to work with large datasets with various joints plus data transformation methodologies.
Strong written and oral communications skills.
Communication and explain findings and trends to technical and non-technical audiences.
Establish new KPIs to measure effectiveness of business process, business practice and decisions.
Create report and presentation for projects, summarize recommendations and findings.
Work collaboratively with members of our clinical team, data team, engineering team, client management team and sales team.
Identify and implement informatics strategies to support health outcomes, patient outreach and organizational performance.
Intermediate skills in Microsoft Excel, VBA, SQL, R, Python, and SAS (or other program languages that is similar).
Strong analytical and problem-solving skills.
To be successful in this role you will need:
Minimum of 10 years of experience in data analytics.
Have good understanding of prior authorization, medical claims and pharmacy claims data, from how provider bills these claims to how they get adjudicated by the payers.
Population health knowledge and prior work experience is preferred, not requiredHealth insurance work experience is required.
Strong oral and written communication skillsAbility to manage and complete multiple projects within established deadlines, with minimal supervision.
Attention to detail, enjoys working with large amount of data closely and debug formula and code errors.
Thinking outside the box, enjoy taking on new challenges and work through assignments with high-level guidance from leadership.
Team player and self-motivator.
Thrives to achieve above and beyond average.
Flexible and friendly work attitude and mindset, willing to jump onto projects to assist other team members when needed.
Bachelors degree in mathematics, actuarial science, data engineering, data science or computer science preferred.
Hiring Range$170200-$198600AnnualActual compensation packages within that range are based on a wide array of factors unique to each candidate, including but not limited to skill set, years and depth of experience, certifications, and specific location.
BenefitsComprehensive medical, dental, vision, life, and disability benefits, including access to Accolade Advocacy, Accolade Care, and Accolade EMO.
HDHP medical plan with generous employer contributions towards an HSA401(k) Retirement Plan with matching employer contributionsOpen Time OffGenerous Holiday Schedule
5 floating holidays18 weeks of paid parental leaveSubsidized commuter benefits programsVirtual access to coaching, self-care activities, and video-based therapy and psychiatry through Ginger1 Volunteer days per yearEmployee Stock Purchase Plan (ESPP) w/ employee discountWe strongly encourage you to be vaccinated against COVID-19.
What is important to usCreating an enduring company that is hyper-focused on our culture and making a meaningful impact in the lives of our employees, members and customers.
The secret to our success is:
We find joy and purpose in serving othersMaking a difference in our members and customers lives is what we do.
Even when it s hard, we do the right thing for the right reasons.
We are strong individually and together, we re powerfulTrusting in our colleagues and embracing their different backgrounds and experiences enable us to solve tough problems in creative ways, having fun along the way.
We roll up our sleeves and get stuff doneResults motivate us.
And we aren't afraid of the hard work or tough decisions needed to get us there.
We re boldly and relentlessly reinventing healthcareWe're curious and act big -- not afraid to knock down barriers or take calculated risks to change the world, one person at a time.
Accolade is an Equal Opportunity and Affirmative Action Employer committed to advancing an inclusive environment for all qualified applicants and employees.
We provide employment opportunities, without regard, to any legally protected status in accordance with applicable laws in the US.
We are committed to help ensure you have a comfortable and positive interview experience.
Accolade, Inc.
, PlushCare, Inc.
, and Accolade 2ndMD LLC will never ask you to pay to get a job.
Anyone who does this is a scammer.
Further, we will never send you a check and ask you to send on part of the money or buy gift cards with it.
These are also scams.
If you see or lose money to a job scam, report it to the Federal Trade Commission at ReportFraud.
ftc.
gov.
You can also report it to your state attorney general.
To review our policy around data use, visit our Accolade Privacy Policy Page.
All your information will be kept confidential according to EEO guidelines.
AccoladeSummaryLocation:
Remote; Houston, TXType:
Full time.
Estimated Salary: $20 to $28 per hour based on qualifications.
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