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Actuarial Consultant / Revenue Forecasting -fastest Growing health Insurance Company!! -

Company: Fallon Community Health Plan
Location: Worcester
Posted on: October 10, 2018

Job Description:

Responsibilities: Major areas of responsibility and accountability:Medicare Advantage bid processActively participate on corporate bid team Respond to requests from external consultants for dataMaintain accurate records of work and develop process documentationManage CMS/HPMS softwareEnhance EGWP pricing model and provide account specific rates Product Line supportEducate product line management on drivers of variances from budget for all revenue streamsMeet regularly with the product line manager to identify and implement reports to improve product performance and identify opportunities to enhance revenueMedical loss ratio reporting for Medicare Advantage, PACE and SCO productsMedicare Supplement product pricingDevelop standard pricing for individual and group Med Supp productsProvide experience-based rates to large group prospects and renewalsCorporate Project supportParticipate in corporate projects and subgroup meetings. Complete analyses related to corporate projects and business needs as required.Qualifications: Education: BA or BS - Mathematics, Finance, Economics, Management, other ExperienceExperience in managed health care financial analysis. Familiarity with Medicare Advantage and/or Part D preferred.Support role: Actuarial, Finance, Accounting, Regulatory, Enrollment, Claims - otherAdvanced Excel skillsSQL- Navigator and/or SAS experienceAbility to create presentations & exhibits in formats that meet various audience level10 years - Managed Care setting8 years - Excel5 years - SQL/SAS ExperienceAbility to communicate effectively and in a professional manner in both written and verbal form.PM16 0

Keywords: Fallon Community Health Plan, Worcester , Actuarial Consultant / Revenue Forecasting -fastest Growing health Insurance Company!! -, Healthcare , Worcester, Massachusetts

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