Actuary
Company: Prealize Health
Location: Palo Alto
Posted on: February 18, 2021
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Job Description:
Position: ActuaryJob Description:Based in Palo Alto, California,
Prealize Health is a predictive analytics company that leverages
machine learning to shift healthcare from reactive to proactive, so
more people can live healthier lives. Most of healthcare today is
very reactive - with care and insights being delivered when it's
too late take action and results in a disconnected member
experience, poor outcomes, and financial impact to the business.
Through machine learning that is accessible and explained, we are
committed to building products that will fuel the transformation of
health care to proactive.On the Product team, our mission is to
discover, improve and deliver products that meet customer pain
points and revolutionize the healthcare industry. As a team, we
drive each product's vision, strategy and roadmap and work
cross-functionally across sales, account management, marketing, and
of course, technology including engineering and data science. We
are looking for an experienced health Actuary with experience in a
variety of areas of practice (e.g. pricing, forecasting, trends
studies, utilization studies, evaluating programs, health care
economics) and experience with multiple lines of business.. This
health Actuary will contribute significantly to tech product
development, customer adoption, and the growth of our analytics
function.As an Actuary, You Will:* Act as an internal subject
matter expert in health insurance domain knowledge that includes:*
Knowledge of cash flows and financing in healthcare (including what
drives profit and loss)* Understanding of the dynamics of different
market segments / lines of business* Understanding of health
insurance data and analytics, with extensive experience using
claims data* Understanding of health plan operations, which informs
adoption and implementation* Understanding of product pricing and
design* Familiarity with rules and regulations by market, which
informs assessment of barriers to entry of new product ideas*
Utilizing your domain knowledge, you will:* Significantly
contribute to product development with areas of focus including
stop loss underwriting and aiding customers in finding creative and
innovative ways to adopt machine learning technology into existing
actuarial and underwriting workflows.* Review customer cost /
utilization data and look for trends, create benchmarks, and
summarize key results that help a customer adopt a product or gain
new insight.* Contribute to analytical methodology and thinking,
including ways to calculate product value and ROI.* Contribute to
Prealize's growth of analytics as a function* Understand the
product - live and breathe the customers pain points and business
drivers and identify innovative solutions, improving upon existing
and building new.* Participate in product discovery and testing
meetings with customers to understand pain points, opportunities,
and value.* Work cross functionally and in particular with your
teammates on the product team and with data science, engineering,
and clinical.* Attend customer and sales meetings to hear feedback
from customers directly and assess impact to product strategy and
positioning, partnering with the commercial team.* Adhere to
company policies related to PHI and other data security
requirements.You Will Love this Job If:* You are passionate and
energetic about healthcare analytics and technology as way to
transform the healthcare industry to becoming more proactive* You
are curious. You thrive in the unknown, the chaotic and the
ambiguous. You are tenacious and courageous, moving people and
decisions forward.* You enjoy helping people and bringing diverse
perspectives and experiences together.* You are an effective verbal
and written communicator.* You take issues head-on to contribute to
communication and alignment.* You have the humility and
self-awareness to know your limitations and that of others. You ask
for help, are not afraid to not know something, and to take on a
new skill.* You have the ability to see the bigger picture and
business impact while also getting into the details.* You are
passionate about transforming healthcare status quo and want to
work in a fast-paced environment.You Should Get in Touch if:* Have
at least 5 years of actuarial experience in a health plan or
consulting firm working with health plans, ideally with exposure to
multiple areas of practice and lines of business* ASA or above*
Technical expert in Excel* R, SQL or Python program experience
required* Predictive modeling experience is helpful but not
required* Bachelors Degree required.* ReferralPowered by
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Keywords: Prealize Health, Palo Alto , Actuary, Accounting, Auditing , Palo Alto, California
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