Actuarial - Healthcare Economist

Florida Cancer Specialists & Research Institute; Orlando (FL); Remote; USD 80,000 - 110,000; Full time

Job summary

Join a forward-thinking organization dedicated to transforming cancer care. As an Actuarial Healthcare Economist, you'll leverage your expertise to analyze healthcare data, build forecasting models, and develop innovative payment structures. This role offers the opportunity to make a significant impact on patient outcomes while collaborating with cross-functional teams. With a commitment to professional growth and a supportive work environment, this position is ideal for those passionate about healthcare economics and actuarial science. Embrace the chance to contribute to groundbreaking initiatives in cancer care and be part of a team that values excellence and innovation.

Benefits

Tuition Reimbursement

401-K Match

Pet Insurance

Legal Insurance

Medical Coverage

Paid Time Off

Employee Assistance Program

Health Savings Account

Life Insurance

Qualifications

• Proficient in actuarial methodologies and healthcare analysis.
• Experience with healthcare data and risk assessment.

Responsibilities

• Conduct in-depth analysis of healthcare data and cost trends.
• Collaborate to develop value-based care models.

Skills

Actuarial Science

Healthcare Economics

Data Analysis

Forecasting Models

Interpersonal Skills

Education

Bachelor's degree in Actuarial Science

Master's degree in Healthcare Economics

Tools

Database Querying Tools

Job description

Actuarial - Healthcare Economist page is loaded

Actuarial - Healthcare Economist

Apply locations United States time type Full time posted on Posted 3 Days Ago job requisition id JR17638

Date Posted:

2025-05-07

Country:

United States of America

Location:

Florida - Remote

WHY JOIN FCS

At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages.

Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance.

A LITTLE BIT ABOUT FCS

Since 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. Our patients have access to ground-breaking therapies, in a community setting, and may participate in national clinical research studies of drugs and treatment protocols. In the past five years, the majority of new cancer drugs approved for use in the U.S. were studied in clinical trials with FCS participation prior to approval.

Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients.

Come join us today!

Summary:

The Actuarial – Healthcare Economist performs actuarial analysis pertinent to FCS businesses, including the Value-Based Care Program Portfolio and the analysis and supportive development of new alternative payment models and population health management. This individual should be proficient in actuarial science methodologies and develop / use relevant tools, databases, and record systems to gather and synthesize information for interpretation. The Actuarial – Healthcare Economist will provide detailed analysis, build forecasting models, consult with business leaders, and provide advice and recommendations for risk assessment and mitigation efforts across business units. They will assess affordability analytics in support of medical cost reduction, quality of care improvement, and increase in high-value care delivery and patient satisfaction. Additionally, they will prepare projections for market trends and relevant impacts to VBC programs using healthcare economics techniques and methods. This individual may also oversee actuarial or underwriting staff.

PRIMARY TASKS AND RESPONSIBILITIES:

• Maintain working knowledge of current value-based care contracts, programs, and initiatives
• Collaborate with cross-functional teams to develop and implement value-based care models, payment structures, and reimbursement mechanism that’s align with incentives with improved patient outcomes / high value care.
• Conduct in-depth analysis of healthcare data, claims utilization patterns, and cost trends to inform the development of actuarial models and economic forecasts.
• Provide expert guidance on healthcare policy implications, regulatory changes, and market trends that may impact value-based care strategies.
• Work closely with data scientists and healthcare professionals to design and refine models for risk adjustment, cost-sharing, performance measures.
• Collaborate with internal and external stakeholders to communicate complex findings in a clear and concise manner, including presentations, reports, and recommendations.
• Assess the financial impact of proposed value-based care programs, utilizing actuarial methodologies and economic principles to forecast potential incentives and risks.
• Develop detailed analysis, build forecasting models, and trend analysis to present to key leaders and decision makers.

EDUCATION/CERTIFICATIONS & LICENSES:

• Bachelor’s degree (B.A.) in actuarial science, healthcare economics, quantitative analysis, mathematics, or a closely related field; statistics background would prove helpful in this role.
• Master’s degree in healthcare economics, Actuarial Science, Economics, analytics, or related field preferred.
• ASA of FSA designation with ability to sign pricing and reserving opinions a plus.

EXPERIENCE:

• Experienced healthcare economist or actuary, preferably with a large-scale payer or equivalent solution provider. Experience with healthcare actual and underwriting functions required to successful meet the needs of understanding organizational risk.
• Proficiency in database querying tools and strong data management skills.
• Strong understanding of data systems and sources and how it impacts the data available.
• Working knowledge of medical claims, billing practices, and health insurance requirements
• Experience in building forecasting models and conducting budget impact analysis
• Knowledge of actuarial landscapes of payers, the value metrics they use, principal calculation methods

CORE COMPETENCIES, KNOWLEDGE/SKILLS/ABILITIES:

• Analysis & Critical Thinking; using resources available to solve problems and research solutions independently
• Strong interpersonal skills to include effective verbal and written communication
• Solid time management with the ability to prioritize multiple tasks
• Must have strong organizational skills to prioritize tasks independently and track performance, communications, and outreaches to assigned territory
• Ability to collaborate across various levels of management, departments, and teams
• Must be comfortable with providing timely feedback in remote and in-person setting to physician and operational leadership clientele
• Comfortable negotiating problems and exploring solutions with physician, upper management, and FCS leadership

VALUES:

• Patient First – Keeping the patient at the center of everything we do
• Accountability – Taking responsibility for our actions
• Commitment & Care – Upholding FCS vision through every action
• Team – Working together, one team, one mission

Expectations for all Employees

Every FCS employee is expected to regularly conduct themselves in a professional and respectful manner, to comply with all labor laws, workplace policy and workplace practices. Employees are expected to bring issues of any forms of workplace harassment, discrimination, or other potential improprieties to the attention of their management or the human resources department.

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SCREENINGS – Background, drug, and nicotine screens

Safeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve. All offers of employment at Florida Cancer Specialists & Research Institute are contingent upon clear results of a thorough background screening. Additionally, as a condition of employment, FCS requires all new hires to receive various vaccinations, including the influenza vaccine, barring an approved exemption. In addition, FCS is a drug-free workplace, and all new hires will be subject to drug/ nicotine testing. Medical Marijuana cards are not recognized.

EEOC

Florida Cancer Specialists & Research Institute (FCS) is committed to helping individuals with disabilities to participate in the workforce and ensure equal opportunity to compete for jobs. If you require an accommodation to submit a resume for positions at FCS, please email FCS Recruitment ( [e-mail] ) for further assistance. Please note this email address is intended to request an accommodation as part of the application process. Any other correspondence will not receive a response.

FCS is an EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability or any other legally protected status.

Welcome:

AtFCS, we believe the diversity, talent, skills and expertise of our people are our greatest assets, and we strive to provide a workplace where team members can thrive and grow.

About Us:

Florida Cancer Specialists & Research Institute (FCS) has built a national reputation for excellence. At nearly 100 locations throughout Florida, our team members share a commitment to ensuring that patients have access to world-class cancer care, close to home, with the support they need at every step of their cancer journey.

Exciting Benefits for Our Team!

At FCS our mission is to provide top-ranked care to those we serve, and investing in our team is a big part of that commitment. Here’s a brief overview of some of the core benefits we provide for our team members:

- Medical and Prescription Drug Coverage

- Employee Assistance Program (EAP)

- Health Savings Account (HSA) & Flexible Spending Accounts

- Paid Time Off (PTO)

- 401(k) Retirement Plan

- Life Insurance

- TuitionReimbursement

- Disability Insurance

- Critical Illness

- Hospital Indemnity

- Pet Insurance

- Identity Theft

Notice:

As a Community Oncology practice, we believe weall FCS staffhave a responsibility to promote, encourage and be a role model for healthy lifestyles that reduce the likelihood of cancer. In support of this belief, Florida Cancer Specialists & Research Institute is a drug and tobacco/nicotine free workplace. Individuals who use products containing tobacco/nicotine of any kind, including nicotine patches, gum, e-cigarettes, etc are ineligible for hire. Medical Marijuana cards are not recognized.

What Doctors Say About Our Practice:

Hear From Our Nurses: Why They Choose FCS