Job description
Company Overview
Everside Health is a national on-site, near-site and virtual primary care provider on a mission to fix America’s broken healthcare delivery model. At Everside Health we are building the most trusted, accessible and personalized healthcare experience alongside our patients and clients. With 20+ years’ experience from our shared organizations, we hold a unified goal of building deep, trusted and lasting relationships with our patients and clients. As Everside Health, we are guided by our core principles of Patients First, Courage, Ingenuity, Community, and Fun
Essential Duties & Responsibilities
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Under the supervision and guidance of the Vice President and Senior Actuary, this position will assist in the development of new opportunity sales proposals.
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For each new prospective client or clinic this position will help develop a full summary of expected clinic costs.
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In addition, the person in this role will estimate likely savings from the clinic for each client. This savings estimate will be based on a detailed understanding of the client’s health care claims cost experience and Everside Health’s ability to make an impact. The implications of this assessment will be included in initial presentations to the client.
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This position will work collaboratively with finance, sales and operations to recommend pricing that: achieves targeted levels of contribution margin, considers the client’s forecast ROI and are competitive in the marketplace.
Work with claims history and Everside Health clinic experience to estimate likely clinic savings
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The Underwriter II will need to understand the medical claims history of each client and their performance in key categories relative to norms (primary care, urgent care, emergency rooms, etc.)
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This analysis would include the full range of medical claims and all potential segments including but not limited mental health, dental, physical therapy, etc.
Recommend pricing that: achieves targeted levels of contribution, considers the client’s forecast ROI and competition
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Develop pricing recommendations considering company margins, client expected ROI, and market competition
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Deliver these recommendations to the Vice President and Senior Actuary for review
Qualifications
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2 to 4 years of experience in related work
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Bachelor’s Degree in Accounting/Finance/Math/Actuarial/Economics or related field
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Must have strong analytical and quantitative skills including building cost/benefit models, data mining, and the ability to summarize the implications of findings
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Strong understanding of medical diagnostic and procedure codes with the ability to organize large amounts of claims data using sound approaches and principles.
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The person in this position will need to collaborate well on a cross-functional basis with multiple key stakeholders.
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Notable experience with Microsoft Excel is required
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Strong communication skills and ability to work effectively cross-functionally with sales, operations, finance, etc.
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Strong financial modeling experience
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The ability to work well with and proactively with cross-functional team members across the organization to gather information, request assistance when needed, and provide support when needed, etc.
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Strong knowledge and experience with health insurance and claims data analyses
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Strong organizational skills and ability to manage a large volume of email and telephone communication.
Pay Range: $70,000 - $80,000/yr
The actual offer may vary dependent upon geographic location and the candidate’s years of experience and/or skill level
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