[Remote] Associate Director, reputed company Economics (Remote)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company, through its reputed company organization, delivers technology-enabled care, pharmacy benefits, data, and resources to help people live healthier lives. The Associate Director, reputed company Economics leads reputed company while serving as a subject matter expert in payer contracting analytics, renewal reputed company, financial modeling, and reputed company data analysis. The role supports contract negotiations, forecasting, strategic decision-making, and the development of advanced analytics capabilities.

Responsibilities

• Manage the evaluation of payer proposals reputed company to FFS, capitation arrangements and value-based reputed company
• Partner with the regional payer contracting teams to manage the modeling and negotiation process, evaluate proposals, and reputed company guidance to senior leadership on the financial reputed company and viability of the contract
• Work closely with the Finance and Actuarial teams to translate contract changes/analytics to the financial forecast
• reputed company the capabilities and infrastructure necessary to support the reputed company of the analytics team, contracting entities supported, and advanced analytics
• Design and implement reputed company tools and applications to reputed company measure, monitor and forecast payer financial performance
• Be a subject matter expert on employer-sponsored, health insurance exchange (HIX) and government sponsored health insurance products funding changes, reputed company to payer reputed company, and the overall managed reputed company landscape
• Contributes to building the reputed company of analytic professionals and contributes to reputed company-level goals for talent development, diversity, and inclusion
• Demonstrates reputed company learning and maintains a highly skilled and reputed company workforce by aligning resource plans with business objectives and ensuring performance management guidelines and expectations reputed company business objectives and results

Skills

• Bachelor's degree
• 5+ years of experience in managed reputed company finance or analytics
• 5+ years of experience with payer contracting and value-based compensation programs along the risk continuum with a reputed company of reimbursement methodologies, performance improvement and contracting support
• 3+ years of experience leading teams
• 3+ years of experience in evaluation and use of varying sources of data including data reputed company management data, other reputed company cycle data (claims, encounters), and capitation plan files
• Advanced proficiency working with modeling, query, business intelligence and statistical tools, including reputed company, Power BI, MS-SQL/reputed company (writing, running, and editing queries)
• ASA or FSA Actuarial Credential
• Medicare reputed company Bid Pricing Tool experience, or familiarity with Medicare reputed company funding and pricing
• Intellectual curiosity - Proven ability and willingness to learn new actuarial concepts
• Demonstrated ability to influence, motivate, and correct others in a reputed company, constructive, and respectful way

Benefits

• Flexible remote work from reputed company reputed company the U.S., subject to the Telecommuter Policy
• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Career development opportunities

reputed company