Job Description

Location:

Work from home (Pennsylvania)

Shift:

Days (United States of America)

Scheduled Weekly Hours:

40

Worker Type:

Regular

Exemption Status:

YesProvides guidance and vision for complex data analytics to provide leadership with strategic business intelligence around financial and operational performance. Compiles claims, enrollment, revenue, and other statistical data to use in assigned projects. Conducts data analysis, performs financial modeling and designs reporting to support the Health Plan requirements and initiatives. Communicates summarized results to stakeholders via written narratives, graphical representations, and presentations. Mentors staff on Industry and Health Plan knowledge.

Job Duties:

• Produces and provides analytical and technical support for assigned projects using data analysis tools and software.
• Performs complex analyses by utilizing a wide-range of quantitative and qualitative data sets, models, and publications (regulations, guidelines, business rules, reporting requirements and standards).
• Analyzes data output to identify and interpret trends or patterns in complex data sets.
• Applies advanced business, statistical, and actuarial concepts (Credibility, Simulation, Frequency, Severity) to help support and enhance decision making.
• Synthesizes information to create and deliver clear, precise, and actionable information to stakeholders.
• Delivers information in writing or through verbal summaries and dashboards and reports and presentations.
• Validates and exchanges data provided to and received from other departments, strategic business partners, or other external parties.
• Develops and maintains technical business rules and documentation for data mart metrics and tables.
• Serves as subject matter expert or data steward in data governance and data quality initiatives to ensure and maintain integrity of the Health Plan data stores.
• Serves as a liaison to all levels of Health Plan staff including leadership, other departments, Medical Directors, external vendors, and business partners as requested to analyze data sets and information.
• Provides technical, analytical and business guidance within actuarial team and across the Health Plan departments as necessary.
• Mentors analysts and/or interns providing guidance as needed.
• Monitors and translates key reimbursement, healthcare reform, and regulation policy issues that may impact the Health Plan.
• Develops detailed recommendations and operational strategies to implement these changes and presents to senior management.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

*Relevant experience may be a combination of related work experience and/or Master's degree obtained or Actuarial Exams completed (Master's Degree = 2 years relevant experience, 1 Actuarial Exam = 1 year relevant experience, 3 Actuarial Exams = 2 years relevant experience).

Position Details:

Education:

Bachelor's Degree-Related Field of Study (Required)

Experience:

Minimum of 5 years-Relevant experience* (Preferred)

Certification(s) and License(s):

Skills:

Actuarial Function, Communication, Computer Literacy, Insurance Finance And Actuarial Concepts, Organizing, Problem Management, Statistics And Actuarial Modeling

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.

• KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
• EXCELLENCE: We treasure colleagues who humbly strive for excellence.
• LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
• INNOVATION We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
• SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.

We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.