Actuary - Value-Based Care

Selby Jennings; United States; Remote; USD 66,000 - 92,000; Full time

Job summary

Join a leading Blue Cross Blue Shield Plan in a strategic role within the Provider Relations team, focusing on value-based care initiatives. This role offers the unique opportunity to leverage data-driven insights to enhance Medicare strategies, alongside evaluating innovative care models and financial assessments.

Qualifications

• Deep experience in value-based care and provider network strategy is essential.
• Strong background in building and interpreting complex financial and actuarial models.
• Medicare Advantage experience is a plus.

Responsibilities

• Design and evaluate innovative value-based care models for Medicare network optimization.
• Use data analytics to shape Medicare strategy and uncover cost efficiency opportunities.
• Lead financial assessments related to provider enablement and reimbursement modeling.

Skills

Financial modeling

Data analytics

Strategic thinking

Education

Bachelor's degree in a relevant discipline

ASA or FSA actuarial designation

Job description

1 day ago Be among the first 25 applicants

Join a leading Blue Cross Blue Shield Plan - Strategic Role in Provider Relations

One of the nation's top-rated Blue Cross Blue Shield plans is hiring for a high-impact role within its Provider Relations team. This is a unique opportunity that blends strategic thinking with data-driven insights to advance value-based care initiatives.

Remote - Open to candidates across the U.S.

Responsibilities:

• Design and evaluate innovative value-based care models to support Medicare network optimization.
• Use data analytics to shape Medicare strategy by forecasting provider performance and uncovering opportunities for cost efficiency and revenue growth.
• Lead financial assessments related to provider enablement, including investment impact and provider reimbursement modeling.

Qualifications:

• Bachelor's degree in a relevant discipline
• ASA or FSA actuarial designation
• Deep experience in value-based care and provider network strategy
• Strong background in building and interpreting complex financial and actuarial models
• Medicare Advantage experience is a plus

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance

• Industries

  Claims Adjusting, Actuarial Services

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