LBMC Staffing Solutions, LLC

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Actuarial-10855-1

Location : Brentwood, TN
Job Type : Direct
Hours : Full Time
Required Years of Experience : 3+
Required Education : Bachelor's Degree
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services
Job Category : Financial Services

Job Description :
Seeking a creative, self sufficient person to fill an Actuarial role that will be responsible for performing risk and health analytics that cover a broad range of providers, patients, and payers. 

Tasks include, but not limited to:



  • Report development examining medical cost drivers of the organization

  • Pricing new business and assist in evaluation of monthly incurred but not reported. 

  • Solve complex reporting requests by performing complex data analysis and report development

  •  Perform risk score analytics

  •  Perform health plan pricing analytics

  • Incorporate data findings into high level corporate reporting and monitor experience for all lines of business

  • Ability to work with and communicate technical information to multiple levels of technical and non-technical staff

  •  Review and analyze complex claims data and translate it into meaningful client reporting

  • Participate in team lunch and learns, design sessions, and pattern/code reviews.

  • Provide other data analysis related to utilization management, claims adjudication, and other data as required by management.


 


 


 



Required Qualifications :


  • Bachelor’s degree in finance or related actuarial science/math from an accredited institution

  • ASA or FSA certification

  • Actuarial work experience within a managed care, health insurance organization preferred

  • Advanced Excel skills – create pivot tables, v-lookups, and spreadsheets with formulas

  • 3+ years’ experience using Microsoft SQL Server 2005/2008/2012/2014 solutions and reporting preferred

  • Advanced SAS or SQL programming/coding experience preferred

  • Advanced understanding of Relational and Dimensional data structures and use

  • Negotiation and persuasion skills; ability to facilitate consensus among a diverse group of stakeholders

  • Ability to demonstrate an understanding of data structures and resolve problems

  • Flexible and adaptable regarding learning and understanding new technologies




 


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