Associate Actuarial/Business Analyst

Product Management | National, United States

Associate Actuarial/Business Analyst

 

Overview

Our Product Management organization is responsible for developing and executing strategies that create value for our customers and drive growth of our company. The Product Management team is seeking a Business/Actuarial Analyst, who will operate as a spokesperson for the client’s business needs as they interact with the delivery teams to determine appropriate solutions to business problems.  The Business/Actuarial Analyst provides analysis of healthcare data, interpret client’s healthcare actuarial models for the software development team,and draft requirements using spreadsheets.
 

What you will do:

  • The position requires creative actuarial capabilities, good communication and interpersonal skills, and organizational talents
  • Help Edifecs’s product and engineering team understand client’s financial and actuarial models related to value-based payments.
  • Identify and understand client’s value-based payment financial models and translate them into requirements for software development work. 
  • Work as a part of a cross-functional team of engineers, quality analyst, data analyst and product managers towards the delivery of accurate and scalable value-based payment solutions.
  • Collect business requirements on client’s value-based payment methodologies.
  • Collaborate with Product, Client Management, Engineering teams and the client to verify and validate Edifecs’s implementation. 
  • Work with Product Managers, Engineering, and Design to identify and design new ways to extend Edifecs’s products to better serve larger market segments.

What you will bring:

  • Bachelor’s degree in a Computer Science, Mathematics, Statistics, Economics, or related field
  • One or more years of healthcare actuarial experience
  • Experience working with large healthcare datasets, especially medical claims and related financial data will be a plus
  • Prior data analytics internship(s) or related work experience is a plus
  • Ability to understand broad aspects of the healthcare business on the payer, and provider side
  • Knowledge of healthcare actuarial/financial models and data analysis will be a plus
  • Advanced experience with Microsoft Excel
  • Data visualization skills and effective storytelling with data
  • Strong quantitative, analytic, written, and verbal communication skills
  • Working toward successful completion of one or more Society of Actuaries exams

 

About Edifecs

Edifecs is a leading healthcare technology company with the mission to improve healthcare outcomes, reduce costs and accelerate innovation. We empower healthcare organizations to scale the partnerships required by payment, care delivery and access reform initiatives that are redefining the healthcare industry. We are disruptors, scientists, data nerds, doctors and artists. We believe information technology can revolutionize healthcare. Edifecs has grown from a small start-up to the market leader in our space, and today boasts over 375 healthcare clients that include 25 Blue Plans, over 50 Commercial Plans, 100’s of Healthcare Providers, State and Federal agencies, along with partnership arrangements with most leading middleware stack vendors. Edifecs is regularly recognized as a leader in the Healthcare IT. We have received recognition and awards and continue to be recognized for our overall performance as a company, our dynamic workplace culture and our commitment to innovation.

 All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status.

Edifecs will provide reasonable accommodation to individuals with disabilities who need assistance applying for a job.  Please contact careers@edifecs.com for more information.