Senior Actuarial Support Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Assess cost-saving initiatives that improve the efficiency and effectiveness of the prior authorization process.

• Create and manage cost savings models.

• Design and oversee intricate financial models that track and analyze cost-saving initiatives.

• Deliver regular updates and insights to senior leadership and stakeholders.

• Conduct advanced data analysis on prior authorization and claims trends, decision patterns, and cost drivers.

• Measure the impact of proposed cost-saving initiatives and project cost reduction outcomes for business cases.

• Utilize statistical and data visualization tools to identify trends, patterns, and anomalies in claims data.

• Prepare executive-level reports and presentations on cost-saving successes, project performance, and future cost-saving opportunities.

• Counsel leadership and internal as well as external stakeholders on cost-saving strategies.

• Work collaboratively with clinical and customer success teams to comprehend authorization challenges and offer actionable recommendations.

• Lead post-implementation evaluations to assess initiative impact and foster continuous improvement.

⛳️ Requirements

• A minimum of 5 years of experience in healthcare analytics, cost containment, or similar positions within the healthcare sector, ideally in a payer, provider, or managed care environment.

• Expertise in data analytics and visualization tools, including SQL, Tableau, Power BI, and advanced Excel.

• Strong grasp of healthcare cost drivers and medical claims data.

• Proven experience in data cleaning, data analysis, and problem-solving.

• Capability to convert complex data into actionable insights and clear, concise reports.

• Familiarity with prior authorization and utilization management processes.

• Proficiency in R, SQL, Python, Scala, and AWS (S3, Airflow, Athena, Spark).

• Experience with prior authorization and utilization management data.

🏝️ Benefits

• Fully remote opportunity with approximately 5% travel.

• Medical, dental, vision, life, and disability insurance, along with an Employee Assistance Program.

• 401K retirement plan with company matching contributions.

• Flexible spending and health savings accounts.

• Flexible Time Off + company holidays.

• Up to 14 weeks of paid parental leave.

• Pet insurance.

• Bonus included as part of the overall benefits package.