Value Based Care Actuary Lead - Duly Health and Care

Value Based Care Actuary Lead- VBC Operations- Downers Grove,IL

Position Highlights:

• Full-Time
• Monday - Friday; 8:30am - 5:00pm
• Primary Location: Hybrid/Downers Grove, IL
• Travel: In office as needed. 

Benefits:

• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider.
• Employer provided life and disability insurance.
• $5,250 Tuition Reimbursement per year. 
• Immediate 401(k) match.
• 40 hours paid volunteer time off. 
• A culture committed to Diversity, Equity, and Inclusion (DEI) and Social Impact.
• 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members. 

The Value Based Care Actuary Lead will lead the monthly incurred but not reported (IBNR) healthcare claims process for a large risk based multi-specialty value-based care organization.  Serve as the subject matter expert on IBNR estimates and payor data files.  Investigate and analyze utilization and medical cost data in support of financial close, budget, and forecasting processes.

• Create the monthly claim triangles, populate the IBNR models, and produce the IBNR estimates; working closely with accounting, finance, and operational leaders. Communicate results and supporting information to internal audiences including Finance, Accounting, and Value Based Care executives and team members.  Maintain the IBNR model.   Research issues and trends and keep leaders informed of findings.  Update related monthly reports.  Act as key contributor and subject matter expert during budget and forecast cycles.  Interact with payor contacts and third-party actuaries as appropriate.   (70%)
• Support the annual financial statement audit. Prepare lookback analyses and other information as requested by the auditor.  Meet with the auditor as needed to answer questions.  (5%)
• Perform ad hoc analyses as requested by management. Independently surface insights and recommendations that help improve the accuracy of IBNR models and/or value based care operations. (25%)

SUPERVISORY/MANAGEMENT SCOPE

• Role is viewed as a primary subject matter expert on all matters related to IBNR and will be looked to for advice, guidance, and mentorship.
• Manage entire IBNR process on a monthly basis to completion, meeting predetermined timelines
• May include supervisory responsibilities of actuarial analysts over time. 

License / Registration / Certification

• Associate of the Society of Actuaries (ASA); Fellow of the Society of Actuaries (FSA) preferred
• Member of the American Academy of Actuaries (MAAA)

Level of Education

• BS or BA at a minimum
• MS or MA preferred

Field of Study

• Actuarial Science, Mathematics, Statistics, Economics, or a related area

Years of Experience

• Minimum of five years of US healthcare actuarial work experience in managed care or closely related field, with at least 2 years estimating IBNR claims

Describe Type of Experience

• Experience supporting the monthly IBNR process (preferably 3+ years)
• Demonstrated leadership experience such as project lead, team lead, mentoring, and/or past formal managerial roles. (preferably 3+ years)