Actuarial Manager Remote

Company: One Medical
Location: Chicago
Posted on: May 16, 2022

Job Description:

Job DescriptionAbout UsOne Medical is a primary care platform challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to radically transform healthcare, which means tackling the frustrations of everyone involved — from patients and providers to employers and health networks. Across the country, our members enjoy seamless access to comprehensive care at more than 180 locations across 28 cities (and counting!) as well as 24/7 access to virtual care powered by intelligent uses of technology. In addition to a direct-to-consumer membership model, we work with more than 7,000 companies to provide One Medical health benefits to their employees.On January 31, 2020 we marked a milestone with our public listing on Nasdaq, but our work is far from over. As we continue to grow and broaden our impact, we're building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive.The Opportunity One Medical is seeking an Actuarial Associate to join its Actuarial & Strategic Finance Team. This fast-paced role provides an outstanding opportunity to influence data-driven business decisions. The Actuarial & Strategic Finance team has exposure to all facets of the business and plays a critical role in shaping the future and strategy of the company through forecasting and analysis of key business drivers. This position will report directly to the Head of Actuarial and will have the opportunity to work on non-traditional actuarial projects in a rapidly growing healthcare environment. You will partner directly with our finance and clinical team members to help build out our core actuarial functions and support strategic decisions. As an actuarial leader on the team you will own key processes across reserving, forecasting, pricing, and value-based contract analytics. You will help design new processes that provide critical and timely evaluation of our financial risks to the strategic finance team. We'd love to speak to you if you are extremely proactive, motivated, well-organized, and have the ability to multitask while working with different stakeholders within the organization. What you'll lwork on:

• Design and implement an actuarially sound monthly reserving process for TME and Premium estimation
• Manage continuous evaluation of TME performance compared to plan expectations
• Support month end financial and accounting processes for relevant actuarial estimates
• Support ongoing audit review of IBNR estimates
• Support medical economics reporting and ad-hoc analyses relating to cost of care management
• Design retrospective analysis of IBNR estimation and the design of studies to monitor the suitability of the completion factor estimates
• Support the evaluation of stop loss coverage limits and risk exposure within value based contracts
• Design and manage actuarial intern/co-op analyses
• Manage Direct Contracting Reach Financials
• Oversee relationship with actuarial consulting firms and develop project plan for consulting
• Support summer internship project mentorshipWhat you'll need:
  • Bachelor's Degree in Finance, Actuarial Science, Mathematics, Economics, or Business required
  • 4 or more Actuarial Exams required
  • ASA or FSA preferred
  • 7+ if manager years of experience in healthcare finance, consulting, or healthcare actuarial analytics
  • 3+ years of experience in healthcare value based program finance
  • 3+ years of experience in Medicare/Medicare Advantage finance
  • Experience in determining monthly IBNR estimates
  • Experience in annual Medicare Advantage bid development process
  • Experience working with consulting actuaries and managing projects to a budget
  • Ability to work cross functionally with stakeholders (Operations, FP&A, Clinical, Accounting, Audit) across the organization
  • Ability to lead, manage, and conduct multiple types of technical and actuarial analyses (e.g. underwriting business development, pricing product offerings, reserving for IBNR, and funding)
  • Strong technical programming skills; SQL, R, SAS, Python, Looker,
  • Demonstrated data visualization experience; Tableau, Looker, PowerBI nice to have
  • Ability to work collaboratively to drive challenging and ambiguous projects Benefits designed to aid your health and wellness:Taking care of you today
    • Paid sabbatical after 5 and 10 years
    • Employee Assistance Program - Free confidential advice for team members who need help with stress, anxiety, financial planning, and legal issues
    • Competitive Medical, Dental and Vision plans
    • Free One Medical memberships for yourself, your friends and family
    • Pre-Tax commuter benefits
    • PTO cash outs - Option to cash out up to 40 accrued hours per yearProtecting your future for you and your family
      • 401K match
      • Opportunity to participate in company equity programs
      • Credit towards emergency childcare
      • Company paid maternity and paternity leave
      • Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance
      • Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance This is a full-time role based anywhere in the US remotely #LI-SB2#LI-RemoteOne Medical is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.
        
        Subject to applicable law, proof of COVID 19 vaccination is required for employees and contractors who interact with patients, access a shared office space or engage with other team members, except where a medical or religious accommodation applies.
        
        One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the E-Verification Poster (English/Spanish) and Right to Work Poster (English/Spanish) for additional information.

Keywords: One Medical, Chicago , Actuarial Manager Remote, Executive , Chicago, Illinois