Welcome Actuarial Outpost members! After a few week of the AO being down, and no information given to people, a couple actuaries decided to start a new forum. We have some other ideas mixed in here too, including practice exam software. We'll have to start somewhere, so please join and post away to drive further activity! Also, let us know if you want to help out in any way. Thanks!

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Topics - Actuary

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1
Admin Only / Bundled Payments
« on: November 22, 2020, 11:04:48 PM »
Bundled payments come in many shapes and sizes. Centers for Medicare and Medicaid Innovations (CMMI) Bundled Payments for Care Improvement Initiative has one of the most well known types. Bundled payments have advantages for both payers and providers. Providers can reduce expenses, allow for incentive across individual providers within groups, and have better integration of services across their delivery system. Meanwhile, payers move forward with simpler contracting and can reduce the cost of claims for services covered by that bundle payment.

Whether it is for a select set of services or all of those tied to an "episode", bundled payments allow for a fixed payment to cover the services. Providers take on the risk for costs greater than the fixed fee. This is very similar to the aspect of capitation, but instead of all of members' claim costs being at risk, it is a specific set of services for the members of that payer, and the payment is only guaranteed upon triggering of that event.

At Five70, our actuaries have developed specific models for bundled payments. Actuarial analysis of historical claims data is necessary and allows for actuaries to determine the consistency in the cost of a given episode, volatility over time, and how those risks vary by different types of settings.

2
Software Engineer - Mobile - HealthIO - Milliman - Brookfield, WI

Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee…From Milliman - Fri, 20 Nov 2020 19:54:27 GMT - View all Brookfield, WI jobs

Source: Software Engineer - Mobile - HealthIO - Milliman - Brookfield, WI

3
Associate Actuary - The Health Plan of West Virginia, Inc. - Wheeling, WV

American Academy of Actuaries (Preferred). Associate of the Society of Actuaries and a Member of the American Academy of Actuaries preferred.From Indeed - Thu, 19 Nov 2020 15:08:22 GMT - View all Wheeling, WV jobs

Source: Associate Actuary - The Health Plan of West Virginia, Inc. - Wheeling, WV

4
Job Postings / MARC Web Developer - Milliman - Brookfield, WI
« on: November 19, 2020, 02:20:11 PM »
MARC Web Developer - Milliman - Brookfield, WI

Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee…From Milliman - Wed, 18 Nov 2020 19:54:57 GMT - View all Brookfield, WI jobs

Source: MARC Web Developer - Milliman - Brookfield, WI

5
Job Postings / Director of Actuarial Services - NeuGen - Madison, WI
« on: November 17, 2020, 08:49:07 PM »
Director of Actuarial Services - NeuGen - Madison, WI

Actuarial Fellow Designation (FCAS) and Member of the American Academy of Actuaries (MAAA). Describes the general nature and scope of responsibilities for this…From America's Health Insurance Plans (AHIP) - Tue, 17 Nov 2020 19:36:35 GMT - View all Madison, WI jobs

Source: Director of Actuarial Services - NeuGen - Madison, WI

6
Job Postings / Associate Actuary - Anthem - Waukesha, WI
« on: November 17, 2020, 08:10:51 AM »
Associate Actuary - Anthem - Waukesha, WI

ASA required from the Society of Actuaries (SOA); The Associate Actuary completes the most diverse and complicated projects and performs highly complex…From Anthem - Sat, 10 Oct 2020 02:30:12 GMT - View all Waukesha, WI jobs

Source: Associate Actuary - Anthem - Waukesha, WI

7
Financial Data Analyst - Independent Care Health Plan - Milwaukee, WI

Compile and provide Medicare Advantage Bid documents to actuaries. This position is responsible for data analysis, reporting, and operational analysis for…From Independent Care Health Plan - Fri, 13 Nov 2020 20:54:48 GMT - View all Milwaukee, WI jobs

Source: Financial Data Analyst - Independent Care Health Plan - Milwaukee, WI

8
Investment Consultant - USI Holdings Corporation - Junior, WV

Enrolled Actuary (EA) ideal, but not required. This position is responsible for compiling and communicating statistical, financial, economic and plan specific…From USI Holdings Corporation - Tue, 28 Jul 2020 02:07:13 GMT - View all Junior, WV jobs

Source: Investment Consultant - USI Holdings Corporation - Junior, WV

9
Job Postings / Systems Administrator - MARC - Milliman - Brookfield, WI
« on: November 12, 2020, 06:46:24 AM »
Systems Administrator - MARC - Milliman - Brookfield, WI

Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee…From Milliman - Wed, 11 Nov 2020 01:54:52 GMT - View all Brookfield, WI jobs

Source: Systems Administrator - MARC - Milliman - Brookfield, WI

10
Actuarial Analyst or Actuary (Curv - Group Health) - IntelliScript - Milliman - Brookfield, WI

The Milliman IntelliScript suite of software products provides intelligent analysis of prescription histories and other medical data.From Milliman - Wed, 11 Nov 2020 01:54:49 GMT - View all Brookfield, WI jobs

Source: Actuarial Analyst or Actuary (Curv - Group Health) - IntelliScript - Milliman - Brookfield, WI

11
Job Postings / Director of Actuarial Services - NeuGen - Madison, WI
« on: November 11, 2020, 01:50:27 AM »
Director of Actuarial Services - NeuGen - Madison, WI

The Director of Actuarial Services serves as head actuary for each insurance company. Actuarial Fellow Designation (FCAS) and Member of the American Academy of…From NeuGen - Fri, 06 Nov 2020 23:18:12 GMT - View all Madison, WI jobs

Source: Director of Actuarial Services - NeuGen - Madison, WI

12
CRM System Developer - Knight Wall Systems, Inc. - Deer Park, WA

4 years of college in Computer Science or Actuary disciplines and/or a combination of education and related/specific work experience.From Indeed - Tue, 27 Oct 2020 22:16:06 GMT - View all Deer Park, WA jobs

Source: CRM System Developer - Knight Wall Systems, Inc. - Deer Park, WA

13
BPAS Participant Services Representative - Spokane, WA - Community Bank System, Inc. - Spokane, WA

Study for and pass ASPPA (American Society of Pension Professionals and Actuaries) Retirement Plan Fundamentals Course, as applicable.From Community Bank System, Inc. - Thu, 15 Oct 2020 00:13:47 GMT - View all Spokane, WA jobs

Source: BPAS Participant Services Representative - Spokane, WA - Community Bank System, Inc. - Spokane, WA

14
Actuarial Analyst III (Behavioral Health) - Anthem - Waukesha, WI

Required to have passed at least four Society of Actuaries (SOA) actuarial exams; At Beacon Health Options, a proud member of the Anthem, Inc.From Anthem - Sun, 11 Oct 2020 02:30:06 GMT - View all Waukesha, WI jobs

Source: Actuarial Analyst III (Behavioral Health) - Anthem - Waukesha, WI

15
Job Postings / Actuarial Analyst - Sentry Insurance - Stevens Point, WI
« on: November 08, 2020, 08:36:56 AM »
Actuarial Analyst - Sentry Insurance - Stevens Point, WI

Bachelor’s Degree in Actuary Science, Math, Accounting or related fields. Whether monitoring rate adequacy, managing corporate insurance risks, or calculating…From Sentry Insurance - Sun, 08 Nov 2020 01:43:13 GMT - View all Stevens Point, WI jobs

Source: Actuarial Analyst - Sentry Insurance - Stevens Point, WI

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