Actuarial Jobs in Nashville, TN

The Why Behind Wellvana :

The healthcare system isn't designed for health. We're designed to change that.

We're Wellvana, and we help doctors deliver life-changing healthcare.

Through our high-touch approach to value-based care, we're moving beyond fee-for-service and helping tie the healthy outcomes of patients directly to healthier profitability for primary care physicians, payors, and health systems.

Physicians and health systems in our curated network retain full ownership while Wellvana takes on all the upfront risk, investing capital, people-power and customized medical management strategy to help each provider flourish on their path to full-risk value-based care.

We provide turnkey support to clinicians to reduce their administrative headaches and help them spend more time with patients. Patients, in turn, get an elevated experience with coordinated care that is nothing short of life changing.

Named a Best Place to Work by Nashville Business Journal and featured in Insider's 33 startups "investors expect to take off in 2023," we're one of the fastest-growing companies in America because what we do works.

This is the way medicine is meant to be.

Clarity on the Role :

The Analyst, Actuarial, will work closely with Wellvana's actuarial, finance and analytics team in the development of value-based care insights supporting our vision, strategic direction, and performance. Scope of duties will include but not be limited to medical and pharmacy expense analyses, pre-sales analytics, underwriting, actuarial forecasting, and population health management analyses. This role consults and collaborates with leadership regarding financial results and forecasting. This position will be key in supporting the business to meet financial objectives by identifying and quantifying opportunities and risks, through key root-cause analyses, and providing recommendations. The role will need to be able to successfully work within a complex but nimble environment. This position will work closely with and report to the Sr. Director, Actuarial.

What's Expected :

• Execute on the strategy and manage actuarial accrual and trend analytic activities, medical and pharmacy data collection and perform ad-hoc analyses
• Foundational understanding with aptitude to become a subject matter expert in Medicare Advantage, ACO REACH, MSSP and other value-based care programs
• Collaborate with other team members to identify, design, and execute analytics to uncover critical business insights that facilitate improved business decisions for senior leadership; analytics may include actuarial, HCE and / or data science related solutions
• Present findings in clear, compelling manner to leadership and peers to provide information needed in supporting decision-making
• Measure and project savings for new and existing affordability initiatives and recommend new initiatives in collaboration with clinical leadership
• Quantify impact of policy reform, population shifts, etc. on existing products and customer arrangements
• Project medical expenses for forecasting purposes and monitor variance to budget
• Serve as resource to Actuarial leadership
• Prepare and provide supporting documentation for actuarial liabilities included in the company's financial statements
• Communicate results, findings, and recommendations to the organization
• Demonstrate understanding of applicable laws and regulations as well as the actuarial code of conduct and actuarial standards of practice
• Program and analyze key reports related to Actuarial initiatives

Requirements

Preferred Competencies :

Disclaimer : At Wellvana, we make it a priority to be as transparent and supportive as possible for anyone applying to join our team. To that aim, we want to ensure you're aware of a recent increase in hiring scams, including fraudulent postings, applications, and requests for payments from candidates. To protect your personal information, and to ensure you get the attention you deserve, we highly encourage you to apply directly through our site. Our current openings are listed here. If you're selected to move onto the next phase of the hiring process, a member of our [Talent Acquisition] team will reach out to you directly from an @wellvana.com email address to guide you through our process. We will never ask for personal payment or require you to purchase equipment during our process. If you're ever in doubt over the legitimacy of a Wellvana job posting on another site, please check our job listings here to verify.