Ascension Health Manager, Actuarial Projects Medicare Advantage in Missouri

We Are Hiring

Manager, Actuarial Projects Medicare Advantage - Corporate Transactions 001 - FT, Days

Why Join Ascension?

Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As the largest non-profit health system in the U.S. and the world’s largest Catholic health system, Ascension is committed to delivering compassionate, personalized care to all, with special attention to persons living in poverty and those most vulnerable. In FY2017, Ascension provided more than $1.8 billion in care of persons living in poverty and other community benefit programs. Ascension includes approximately 165,000 associates and 34,000 aligned providers. Ascension’s Healthcare Division operates more than 2,600 sites of care – including 153 hospitals and more than 50 senior living facilities – in 22 states and the District of Columbia, while its Solutions Division provides a variety of services and solutions including physician practice management, venture capital investing, investment management, biomedical engineering, facilities management, clinical care management, information services, risk management, and contracting through Ascension’s own group purchasing organization.

What You Will Do

The Manager, Actuarial Projects Medicare Advantage partners with Operations and Finance Leadership to review contract language and analyze claims, operations, and financial data to determine risk and forecast performance of our value based ACO contracts. Target locations for thisposition areNashville TN, Milwaukee WI or Austin TX.

Responsibilities:

  • Oversees contract model development to illustrate potential financial outcomes under value based program participation for designated ministry markets

  • Provides insights to contracting team on contract terms that will allow for strong financial outcomes

  • Completes financial modeling of opportunities on potential Medicare Advantage and Medicare ACO agreements

  • Completes analysis on drivers of financial performance for Medicare Advantage and MSSP value based contract performance including risk adjustment and medical cost analysis

  • Presents reports, explaining their implications to stakeholders, and advising on risk limitation

  • Manage a small group of actuarial analysts

  • Contribute to the expansion of the actuarial department by supporting strategic initiatives

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What You Will Need

Education:

  • Bachelor’s Degree in Actuarial Science, Mathematics, or related field required.

  • ASA or FSA professional designation preferred.

Work Experience:

  • Eight to ten years progressive experience in the health & welfare plans actuarial service line, with experience in multiple discipline actuarial service lines.

  • At least three years of Medicare Advantage actuarial, or related, experience preferred.

  • Experience working for a consulting firm is preferred.

Equal Employment Opportunity

Ascension Health is an EEO/AA employer: M/F/Disabled/Vet. For further information regarding your EEO rights, click on the following link to the “EEO is the Law” poster:

http://www1.eeoc.gov/employers/upload/eeocselfprint_poster.pdf”

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

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