Actuary - Risk Adjustment

Ascension’s Actuarial team is seeking an Actuary to support our risk adjustment coding efforts. This is a great opportunity to apply your risk adjustment expertise to a mission-driven organization that is working to transform its care delivery processes. Candidates should have expertise with Medicare risk adjustment - ideally both actuarial and operational aspects. Additionally, candidates should have experience with the Medicare Shared Savings Program (MSSP) or other value-based contracts. Summary of Core Accountabilities: Develop risk adjustment insights & analyses for all lines of business (Medicare, Medicaid, commercial), including HCC recapture rate opportunities, new KPIs that could be tracked and monitored, and forecasted impact on VBC financial results Determine risk adjustment trend drivers, including changes in model version, changes in risk mix, and KPI performance Evaluate risk adjustment interventions, including provider education, patient outreach, HCC gap closer Track leading indicators through vendor platform & integrate findings into opportunity analyses Presenting analysis & findings to stakeholders, including operations, strategy, and finance leadership Requirements License / Certification / Registration: Associate Certification credentialed from the Society of Actuaries obtained prior to hire date or job transfer date required. Fundamentals of Sustainability Accounting (FSA) is preferred. Education: High School diploma equivalency with 3 years of cumulative experience OR Associate's degree/Bachelor's degree with 2 years of cumulative experience OR 7 years of applicable cumulative job specific experience required. Experience: 3 years of leadership or management experience preferred. Additional Preferences Bachelor’s Degree in Actuarial Science or related field Associate Certification credentialed from the Society of Actuaries obtained prior to hire date or job transfer date required Fellow of the Society of Actuaries - Preferred 5-7 years total work experience - Highly Preferred

• Develop risk adjustment insights & analyses for all lines of business (Medicare, Medicaid, commercial), including HCC recapture rate opportunities, new KPIs that could be tracked and monitored, and forecasted impact on VBC financial results
• Determine risk adjustment trend drivers, including changes in model version, changes in risk mix, and KPI performance
• Evaluate risk adjustment interventions, including provider education, patient outreach, HCC gap closer
• Track leading indicators through vendor platform & integrate findings into opportunity analyses
• Presenting analysis & findings to stakeholders, including operations, strategy, and finance leadership

• Associate Certification credentialed from the Society of Actuaries obtained prior to hire date or job transfer date required. Fundamentals of Sustainability Accounting (FSA) is preferred.
• High School diploma equivalency with 3 years of cumulative experience OR Associate's degree/Bachelor's degree with 2 years of cumulative experience OR 7 years of applicable cumulative job specific experience required.
• 3 years of leadership or management experience preferred.

• Paid time off (PTO)
• Various health insurance options & wellness plans
• Retirement benefits including employer match plans
• Long-term & short-term disability
• Employee assistance programs (EAP)
• Parental leave & adoption assistance
• Tuition reimbursement
• Ways to give back to your community

Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.