Fully Remote
SelectHealth - Murray
Full time
R186020
Job Description:
Provides direction and oversight of the development and maintenance of all necessary data, analyses, tools, reports, rating and reimbursement structures, etc., needed to support the products and services offered and the associated business decisions.
We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Maine, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia, Vermont, Washington.
Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings
Essential Functions
Provides direction for pricing, rate filings and designs for all lines of business.
Coordinates development of annual required rate filings for ACA and Medicare.
Coordinates risk adjustment analysis and accrual development.
Provides direction and oversight for the development and maintenance of analysis, forecasting, and reporting of claims experience and trends, both in aggregate and various components.
Analyzes and develops financial statement reserves and other liabilities, contingent settlements, incentive and risk-share payments, reinsurance claims and other third-party claims and liabilities, etc.
Provides input and support for internal and external audits and reporting.
Provides direction and oversight of development and maintenance of analysis, forecasting, administrative models, and reporting of budget projection inputs, both in aggregate and various components.
Provides direction and oversight of development, analysis, and reporting of facility, physician, and other provider reimbursement structures, models and service utilization information.
Coordinates and develops Retiree Drug Subsidy data reporting and submissions.
Designs, develops, and maintains data extracts and complex queries and on-line data analysis and reporting tools.
Skills
Analytical Thinking
Management Reporting
Product Development
Analytic Software Programs
Teamwork
Intermediate SQL
Stop Loss Calculations
Communication of results
Actuarial Health Knowledge
Finance Statements
Qualifications
Bachelor's degree in math, statistics, computer science, economics or finance obtained through an accredited institution. Education is verified.
Associate of the Society of Actuaries and four years of relevant actuarial experience.
Preferred Qualifications
Understanding of underlying theory and effects of assumptions used in product development and maintenance. Knowledge of health insurance products.
Physical Requirements
Interact with others requiring employee to verbally communicate as well as hear and understand spoken information.
Operate computers, telephones, office equipment, and manipulate paper requiring the ability to move fingers and hands.
See and read computer monitors and documents.
Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
SH only
Manual dexterity, seeing.
Location:
SelectHealth - Murray
Work City:
Murray
Work State:
Utah
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$51.11 - $80.45
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .
By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.
Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.
To find out more about us, head to our career site here (https://intermountainhealthcare.org/careers/?utm\source=Workday&utm\medium=Redirect&utm\campaign=CareerHome\workday) .
Sign up for job alerts! Click 'sign in' at the top right corner, create a candidate account, and when we have opportunities that meet your interests, you will receive an email with the job details.
Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email recruitment@imail.org . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.
Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match.
Intermountain Health's PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/peak-program/)
The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.
All positions subject to close without notice.
Thanks for your interest in continuing your career with our team!
