Actuarial Informatics Analyst Intermediate

Job Details

The Actuarial Informatics Analyst Intermediate performs measure and metric development, report/analytic creation and serving as the lead for various informatic sub-groups. Produces analytics used to measure quality and efficiency performance quantifying Jefferson's and associated business partners' performance in multiple Value Based Purchasing contracts.

Job Description

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.

• Produces system-wide reporting and performance management arrays in support identifying open care gaps, utilization leakage/keepage and other revenue enhancement opportunities.
• Develops analytics to clearly identify drivers of adverse trend performance and/or benchmark achievement.
• Develops and/or utilizes existing actuarially sound models in support of predictive analytics, risk adjustment and benchmark models.  
• Creates and presents executive level summaries that clearly depict performance and opportunities for improvement in all value based purchasing programs.
• Executes analytic processes required to support population health at Jefferson, including but not limited to case-mix adjusted physician profiling; operational, quality, cost and utilization analytics; risk analytics; trending and forecasting; predictive modeling; program evaluation using advanced techniques; actuarial analyses; and data mining.
• Continuously develops data expertise needed to optimally use business and other data to support population health reporting and analytics tools and processes; includes expert data knowledge, quality control and following appropriate standards.
• Interacts with co-workers, visitors, and other staff consistent with the iSCORE values of Jefferson.

Minimum Education and Experience Requirements:
 

Education:

Bachelor’s Degree in Business, Mathematics, Computer or other data relevant field required

AND

Experience:

Minimum of 3 years related professional work experience in a progressive healthcare setting required.
OR

Minimum of 2 years related professional work experience in a progressive healthcare setting required and passage of at least one (1) Society of Actuarial (SOA) exams and active in the Exam Program.

Additional Information

Advanced programming in SAS, SQL Query Construction or other programming language.

Understanding of relational database systems and uses.

#LI-remote

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Thomas Jefferson University

Primary Location Address

1101 Market, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,3