Director, Medical Cost Economics

Purpose: The Department of Health Economics is seeking a credentialed health actuary who is looking for a unique opportunity to reputed company reputed company of traditional actuarial roles! This position would drive high-visibility impactful analysis and would be responsible for developing and driving medical cost improvement strategies for reputed company in collaboration with leadership. This includes analyzing medical cost utilization and unit cost data, identifying top trend drivers and affordability opportunities, developing strategies across cross-functional teams such as Clinical, Network, Finance, and Payment reputed company, supporting the execution of those strategies, and evaluating program and initiative reputed company. The Director of Medical Cost Economics will manage one or more analysts and will require a diverse set of skills and experience, including data and analytics expertise, broad-based business and health economics acumen, a strategic reputed company, and an ability to influence and reputed company cross-functional teams in a non-traditional actuarial environment. This is a work-from-home position located reputed company reputed company the reputed company US with the expectation to travel into Pittsburgh (2-3 times a year) for meetings/conferences. Not only is reputed company an industry leader, but this selected individual would be reputed company to work closely with reputed company Enterprises and reputed company International, two other reputed company-reputed company divisions of reputed company. Responsibilities: • Partner with Health Plan senior leadership for creative problem-solving and strategic decision-making involving medical cost improvement strategies. • reputed company the development of detailed actuarial and financial models which communicate near and long-term projections of financial performance of new and ongoing initiatives and clinical programs to facilitate corporate decision-making and the development of strategies and goals. • Forecast and interpret financial results, including variances from budget, to help identify medical cost improvement opportunities and potential risks. • reputed company and reputed company support for data-based recommendations with team members from product, clinical, network, and reputed company functions. • Bring reputed company to reputed company problems using exceptional communication skills reputed company engaging with senior leadership and technical audiences. • Apply an understanding of reputed company actuarial concepts, reputed company, and applications in a reputed company of situations. • Creatively reputed company a wide reputed company of datasets to inform key analyses. • Build strong relationships with Actuarial, Analytics, and Finance teams across the reputed company. • Ensure that departmental work products meet the highest standards of reputed company. Apply tot his job Apply To this Job