The DVACO is a limited liability joint venture corporation comprised primarily of two major health systems: Jefferson Health and Main Line Health, serving the Greater Philadelphia region and southern New Jersey. DVACO was accepted into the Medicare Shared Savings Program for the 2014 start year, and now includes 2,000 physicians serving over 250,000 lives. DVACO contracts with four commercial payers and serves Medicare beneficiaries, making it the region’s largest Accountable Care Organization. At the core of operations, DVACO is committed to working towards the achievement of the triple aim: better outcomes, better experiences, and smarter spending. Our culture embraces innovation of healthcare delivery models through collaborative work with physician practices, health systems and employee wellness programs. To learn more, please go to www.DVACO.org.
Why Work for Main Line Health?
We are committed to providing exceptional care with empathy and compassion for people at all stages in life. Our Diversity, Respect and Inclusion Initiative celebrates our differences and our similarities. Ultimately, we want everyone to feel respected for who they are.
The Actuarial Analyst 3 will be responsible for interpreting data, leveraging analytical tools and making recommendations to key stakeholders on the DVACO Value Based Contracts (VBC). Is seen as a subject matter expert and will lead DVACO governance committees and maintain ongoing relationships with all levels of management, key third party staff, internal constituents and external customers at participating CIN organizations to gather information, analyze\share data and effectively move projects forward. Provides supervisory guidance to less experienced analysts and proactively coaches and mentors others throughout the system.
Education: BS required in Business, Mathematics, IT or data relevant field
Experience: Minimum of 5 years related professional work experience in a progressive healthcare or insurance setting required. One year of experience may be granted for passage of at least one or more Society of Actuarial (SOA) exams or active in the Exam Program.
Technical Skills\Capabilities
Value Based Contract (VBC) analytical experience preferred.
Experience analyzing and drawing conclusions leveraging claims and other data sources (e.g. clinical).
Prior experience might include similar roles such as: data scientist, actuarial analyst, VBC consultant\analyst, etc.
Strong analytical and problem solving skills and a willingness to dive in and learn.
Must possess a comprehensive understanding of clinical or payer operational processes and ability to evaluate impacts on data compilation and reporting.
Knowledge of healthcare coding structures and payment methodologies.
We offer competitive compensation and outstanding comprehensive benefits including tuition reimbursement, 403B matching savings plan and a pension plan. If interested, please apply online at https://www.mainlinehealth.org/careers , Job ID 45186
Applicants must certify that they have not used tobacco products or nicotine in any form in the 90-days prior to submitting an application to Main Line Health. This will be verified during pre-employment testing. We are an Equal Opportunity Employer. Please, no agency calls
Additional Information
If this position offers an Employee Referral Bonus (listed below), please note that all Referral Bonus dollars are pro-rated for positions hired less than 80 hours per pay period. For further details, visit the Employee Referral Program located on Wellspring.
Main Line Health (MLH) with over 10,000 employees, is suburban Philadelphia's most comprehensive health care resource, offering a full range of healthcare services. Learn more about us.
Main Line Health is committed to the health and wellness of our employees. We offer competitive salaries, comprehensive benefits, generous paid time off, 403b savings plan, lucrative pension plan, tuition reimbursement, and more! Learn more about our benefits.
