Actuarial Informatics Analyst Intermediate

Job Details

Job Description

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.

• Produces system-wide reporting and performance management arrays in support 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; and 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.

Minimum Education and Experience Requirements:
 

Education:

Bachelor’s Degree in Business, Mathematics, Computer or other data relevant field required

AND

Experience:

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.

Additional Information

Advanced programming in SAS, SQL Query Construction or other programming language.

Understanding of relational database systems and uses.

#LI-remote

Work Shift

Worker Sub Type

Employee Entity

Primary Location Address

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.    

Jefferson is committed to providing equal educa­tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. 

Benefits

Jefferson offers a 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, which provide colleagues with access to group rates on insurance and discounts. Colleagues have 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.

For more benefits information, please click here