Actuarial Consultant

Arcadia is dedicated to happier, healthier days for all. We transform diverse data into a unified fabric for health. Our platform delivers actionable insights for our customers to advance care and research, drive strategic growth, and achieve financial success. For more information, visit arcadia.io.

Why This Role Is Important to Arcadia

This role plays a key part in growing Arcadia’s actuarial business by deepening our understanding of actuarial challenges and supporting our partners. As we expand our actuarial capabilities, we aim to meet the increasing demand from current and prospective partners through innovative analytics and insights. We believe our core technology is second to none when it comes to actuarial focused analytics.

What Success Looks Like

In 3 months

- Engage directly with key stakeholders, a majority will be Internal with some External to better understand actuarial and financial needs from our product offering

- Develop an understanding of our core actuarially competitive product offerings

- Gain familiarity with Arcadia’s data model, data ingestion process, and GA offerings

- Learn how to utilize our APM Benchmarking Tools for CMS programs

- Learn the Analytics team’s reporting tools and DataMart (SQL database, Redshift, Quick Sight BI product)

In 6 months

- Support Contract IQ Client actuarial needs, assigned up to two new clients

- Support Contract IQ product development for Commercial and Medicaid risk types

- Run ad-hoc actuarial analytics for customers with actuarial service hours

- Manage IBNR and Forecasting embedded within customer Contract IQ offering

In 12 months

- Assume an ownership and accountable role in signing off on risk adjustment, benchmarking, and APM readiness

- Enhance our Medical Economics product offering across all customer types

- Support thought leaders in analyzing topics coming out of our Health Care Institute

• Product development support; including IBNR builds, forecasting, data screening/underwriting
• Lead RFP responses and analyses, as they pertain to actuarial and financial needs
• Enabling customer success in program evaluation, Contract IQ implementation, and actuarial specific needs
• Collaborate with cross functional teams to develop deeper partnerships and new growth opportunities within the actuarial framework

• Requirements: education, experience, qualities, and skills
• Bachelor's Degree in related Actuarial Science, Data Science, Economics, Finance, or related field
• Minimum of six years of healthcare actuarial experience, with a focus on value based contracting and analytics (Medicare Advantage, MSSP, REACH, Commercial)
• Within 2 exams of Associate of the Society of Actuaries (ASA) designation
• Have strong accountability, intellectual curiosity, and a customer satisfaction mindset
• Experience underwriting and evaluating key financial parameters within value-based contracts for health plan or provider system
• Experience with database querying (SAS, SQL, Python), Amazon Quick Site or BI Tool equivalent

• Actuarial Experience with health plan or health system
• Consulting experience with deadline-driven project management accountability
• Hands on experience developing and overseeing IBNR estimates
• Familiarity with broad range of analysis capable from VRDC
• Expertise in Medicare FFS risk analysis (HCC, MSSP, ACO Reach, ACO Flex, bundled payment models)

• Work with chief actuary, data scientists, product engineers as part of a forward thinking healthcare tech organization with a focus on supporting healthcare customers from all walks of life
• Ability to learn about the uniqueness of VBC contracts that exist across our customer base, providing a macro level view of the value landscape, advancing your VBC actuarial knowledge very quickly
• Access to vast data asset to exploration
• Be a part of a mission driven company that is transforming the healthcare industry by changing the way patients receive care
• A flexible, remote friendly company with personality and heart
• Employee driven programs and initiatives for personal and professional development
• Be a member of the Arcadian and Barkadian Community

About Arcadia

Arcadia.io helps innovative providers and payers across the country transform healthcare to reduce cost while improving patient health. We do this by aggregating large amounts of disparate data, applying algorithms to identify opportunities to provide better patient care, and making those opportunities actionable by physicians at the point of care in near-real time. We are passionate about helping our customers drive meaningful outcomes. We are growing fast and have emerged as a market leader in the highly competitive population health management software market and have been recognized by industry analysts KLAS, IDC, Forrester, and Chilmark for our leadership. For a better sense of our brand and products, please explore our website.

Protect Yourself

If you have concerns about the authenticity of a job offer or recruitment-related communication claiming to be from Arcadia, we encourage you to verify by contacting us directly at (781) 202-3600 and select option 3. For more information, visit our website.

This position is responsible for following all Security policies and procedures in order to protect all PHI under Arcadia's custodianship as well as Arcadia Intellectual Properties.  For any security-specific roles, the responsibilities would be further defined by the hiring manager.