Actuarial Informat Anlyst Sr

Job Details

Job Description

ESSENTIAL FUNCTIONS:

• Provides analytical support (consultation, design, analysis) to business units to understand and monitor performance as it relates to cost and quality.
• Interfaces directly with customers and management to negotiate requirements (understand customer needs and provide consultation on options to best meet that need) with customers to ensure optimal value and timely delivery.
• Provides direction and/or consultation on analytical approach to peers and customers. Uses business knowledge to anticipate business questions and needs and proactively identify and implement solutions. Identifies gaps in business reporting and proactively identifies and implements solutions.
• Performs all aspects of actuarial informatics analysis including; data acquisition and data management, advanced SAS or SQL programming, advanced data visualization, quantitative and qualitative data analysis,
• Interprets and synthesizes outcomes and conclusions
• Creates written narrative summaries that compliment many of the key performance indicators and metrics, or analytics outlining trends of interest, opportunities for intervention or consideration, changes or shifts in data elements from one time period to another, etc.
• Maintains proficiency and expertise in Health Plan data applications, state of the art business intelligence software and reporting tools that include, but are not limited to, MS SQL Server Components (Query Analyzer & coding, Analysis Server, Stored Procedures, Jobs, and Functions), Business Objects (Crystal Reports, Crystal Enterprise, Crystal Analysis, OLAP, and Xcelsius), SAS, Microsoft Office (Word, Excel, PowerPoint, and Access) and grouper and predictive modeling software (3M, CGI, and MEDai) to prepare complex multi-factorial analysis. Synthesizes and Interprets analyses

EDUCATIONAL/TRAINING REQUIREMENTS:

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

EXPERIENCE REQUIREMENTS:

• Minimum of 5 years related professional work experience in a progressive healthcare setting required.
• Minimum of 4 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.

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Primary Location Address

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 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.