Sr Manager, Actuarial Services Apply
Your Future Evolves Here
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
What You'll Be Doing:
Our Primary Care Actuarial Team offers candidates the opportunity to support the evolution of value-based care across all lines of business by collaborating directly with primary care providers. We are advocates for creating patient value and demonstrate this by ensuring that our financial arrangements are actuarially sound and sustainable. We value humility, adaptability, intellectual curiosity, and accountability as we solve complex business problems.
Collaboration Opportunities:
The Associate Director, Actuarial utilizes and develops analytical tools to solve complex business challenges as well as support decision making that can have a considerable impact on the organization and patient health. This role supports Evolent Primary Care activities as well as broader Actuarial business efforts.
What You Will Be Doing:
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Managing a set of value-based care contracts for quarterly financial forecasting and analysis (including attribution, total cost of care expense, non-ffs expense, benchmarking, and quality)
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Support new business underwriting and contract development as part of Evolent payer economics strategy.
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Manage IBNR recommendation process and seasonality analyses for applicable contracts.
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Lead quarterly compliance testing and accounting recommendations for dedicated VBC contracts.
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Manage external consulting engagements.
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Collaborate with internal business teams such as growth, payer partnerships, operations, policy, and finance.
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Partner with team members on complex and ill-defined business problems
Qualifications - Required and Preferred:
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Bachelor's degree, preferably with a quantitative major (e.g. actuarial science, statistics, mathematics, economics, data science) - Required.
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Successful completion of at least 4 actuarial exams- Required.
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At least 4 years of professional experience in analytics- Required.
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Strong proficiency with Microsoft Excel, query languages such as Python, R, SQL, or SAS - Required.
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Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs - Required.
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Exceptionally strong analytical abilities, with track record of identifying insights from quantitative and qualitative data- Required.
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Previous Accountable Care Organization (ACO) Experience - Preferred.
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Actuarial experience with CMS Initiatives such as MSSP, ACO Reach, Primary Care First- Preferred.
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Actuarial experience within value-based contracting across payers (Medicare Advantage, Commercial, Medicaid)- Preferred.
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Experience in claims-based healthcare analytics to drive decision making- Preferred .
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Experience with Hierarchical Condition Category (HCC) Risk Adjustment mechanics, implementation, and impact modeling- Preferred.
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Experience with BI tools (e.g. Power BI, Tableau, MicroStrategy)- Preferred.
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Associate or Fellow of the Society of Actuaries (ASA, FSA) - Preferred.
Technical Requirements:
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact
The expected base salary/wage range for this position is $100,000 up to $118,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
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to learn more!Recommended Skills
- Actuarial Science
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