[Hiring] Actuarial Informatics Analyst Intermediate @Jefferson Health Plans

Role Description

The Actuarial Informatics Analyst Intermediate performs measure and metric development, report/analytic creation and serving as the lead for various informatic sub-groups. Produces analytics used to measure quality and efficiency performance quantifying Jefferson's and associated business partners' performance in multiple Value Based Purchasing contracts.

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Produces system-wide reporting and performance management arrays in support of identifying open care gaps, utilization leakage/keepage and other revenue enhancement opportunities.
• Develops analytics to clearly identify drivers of adverse trend performance and/or benchmark achievement.
• Develops and/or utilizes existing actuarially sound models in support of predictive analytics, risk adjustment and benchmark models.
• Creates and presents executive level summaries that clearly depict performance and opportunities for improvement in all value based purchasing programs.
• Executes analytic processes required to support population health at Jefferson, including but not limited to:
  • Case-mix adjusted physician profiling
  • Operational, quality, cost and utilization analytics
  • Risk analytics
  • Trending and forecasting
  • Predictive modeling
  • Program evaluation using advanced techniques
  • Actuarial analyses
  • Data mining
• Continuously develops data expertise needed to optimally use business and other data to support population health reporting and analytics tools and processes; includes expert data knowledge, quality control and following appropriate standards.
• Interacts with co-workers, visitors, and other staff consistent with the iSCORE values of Jefferson.

Qualifications

• Bachelor’s Degree in Business, Mathematics, Computer or other data relevant field required.
• Minimum of 3 years related professional work experience in a progressive healthcare setting required.
• OR Minimum of 2 years related professional work experience in a progressive healthcare setting required and passage of at least one (1) Society of Actuarial (SOA) exams and active in the Exam Program.

Requirements

• Advanced programming in SAS, SQL Query Construction or other programming language.
• Understanding of relational database systems and uses.

Benefits

• Comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits.
• Access to tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service.
• All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.