Director, Actuarial Corporate Trend and Initiative Analytics - ACT00014
DESCRIPTION/RESPONSIBILITIES:
Departmental Requirements: Director, Actuarial Corporate Trend and Initiative Analytics
· Perform routine trend and benchmarking reports for the core health care segments, as well as deep dive analytics into key trend, cost, and revenue drivers.
· Work directly with Health Care Value in establishing a pipeline across all health care segments and evaluating the potential ROI of all proposed initiatives, and monitor performance of programs to tie back to all bid and pricing work.
· Assist in setting provider targets for risk contracting with our physician and hospital providers, including support for Value Based Contracting and other provider contracting efforts.
· Coordinate Actuarial analysis and financial review with the Pharmacy area.
Responsible for planning, organizing, directing, controlling and leading multiple business units. Develops vision and identifies strategic direction for the business units. Supports corporate goals and objectives.
* Directs activities of multiple functional areas, including but not limited to planning, staff development, problem solving and communications.
* Directs multiple analyses related to historical and projected contingent events including external and internal sources.
* Proactively seeks out opportunities to innovate and develop new processes, procedures and solutions considering corporate impact and consequences of recommendations.
* Provides effective/efficient solutions to complex business problems.
* Provides high level oversight and leadership to business unit; establish goals and objectives that support continuous quality improvement and lead change effectively.
* Utilizes expert knowledge of actuarial analytics and business processes to support market segments in maximizing growth.
* Communicates utilizing collaboration and influence with key business partners through presentation of findings and recommendations, strategies and work products that maximize knowledge transfer, financial health and segment growth. Remains current on actuarial techniques, seeks development and improvement opportunities and understands corporate/cross-functional objectives and cultural beliefs.
* Other duties may be assigned.
All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, protected veteran status or status as an individual with a disability.
*LI-AH1
