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Actuary

Company: Prealize Health
Location: Palo Alto
Posted on: February 18, 2021

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 JazzHRWESzvSiEDi

Keywords: Prealize Health, Palo Alto , Actuary, Accounting, Auditing , Palo Alto, California

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