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SSM Health Manager - Actuarial Services in Jefferson City, Missouri

It's more than a career, it's a calling.

MO-REMOTE

Worker Type:

Regular

Job Summary:

Responsible for management of the actuarial staff and activities in support of value based contracting. Activities include developing financial models, variance analysis, forecasts and projections, and strategic support in addition to representing departmental interests in cross-departmental strategic workgroups.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

  • Has ownership and accountability for value based contracting analysis, monitoring, reporting, forecast development, performance analysis and related changes/results with recommendations and communications.

  • Performs manual data loads and assisting with automated files and interfaces.

  • Selects, develops, motivates, trains and retains a competent staff to ensure appropriate staffing resources.

  • Develops, maintains and oversees implementation of contract performance models, integrating with contracting, medical management, population health and senior leadership.

  • Coordinates and oversees appropriate reconciliation of data with financial reporting.

  • Develops, maintains and oversees implementation of actual to expected studies and trend analytics. Collaborates with analytic and operational departments on explanation of changes in trend to management.

  • Interfaces with consultants on defining analytic deliverables, incorporates new strategies into workflow. Assists with developing contract strategies, interfacing with finance, medical management and contracting.

  • Develops and maintains actuarial standards and methodologies into departmental processes.

  • Assists with allocation of current staffing resources and identifies and quantifies the need for additional staff.

  • Conducts projects and participates in inter-departmental activities to identify problems and improve work processes and systems.

  • Performs other duties as assigned.

EDUCATION

  • Bachelor’s degree in Actuarial Science, Statistics, Mathematics or Finance

  • Associate in the Society of Actuaries

EXPERIENCE

  • Five years’ health field actuarial experience

PHYSICAL REQUIREMENTS

  • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.

  • Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.

  • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.

  • Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.

  • Frequent keyboard use/data entry.

  • Occasional bending, stooping, kneeling, squatting, twisting and gripping.

  • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.

  • Rare climbing.

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

8765170033 System Finance

Scheduled Weekly Hours:

40

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?_ga=2.205881493.704955970.1667719643-240470506.1667719643)

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