All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored.
UW Medicine’s mission is to improve the health of the public?by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals.?
THE UW MEDICINE CONTRACTING DEPARTMENT has an outstanding opportunity for a CONTRACT RISK ASSESSMENT ACTUARY/ANALYST.
The CONTRACT RISK ASSESSMENT ACTUARY/ANALYST will have primary responsibility for contract modeling for revenue capture and underpayments. This position will be responsible for evaluating, managing, and advising on value based and risk revenue – assessing risk for UW Medicine entities and quantifying statuses monthly financial risks for UW Medicine Contracting & Payer Relations. He/she will use their knowledge of healthcare business and economics to provide strategic and financial advice.
The incumbent will possess creative actuarial capabilities, good communication and interpersonal skills, and organizational talents. A high degree of self-motivation and the ability to lead an analytical team are also necessary for success.
This role will communicate regularly with financial directors and internal/external stakeholders at all levels (including executive heads). It will be critical for this role to manage high-level relationship management with these key individuals to ensure the success of partnerships and business outcomes.
This position will require leading a team responsible for developing new financial products, conduct valuations of assets and liabilities, advising on investments strategizes and investment portfolios, and analyzing risk and modeling. He/she will need to partner with IT systems and experts to ensure compliances with regulatory bodies and data valuations.
The CONTRACT RISK ASSESSMENT ACTUARY/ANALYST will:
Work directly with customers to understand business priorities and technical needs and requirements to address those priorities
Work with internal experts, translate business requirements into technical solution requirements and then develop timelines, identify resources and finalize work scoping and budget to support implementation of enhancements
Document and provide scope summary to customers for approval to include: deliverable specifications, timelines and cost
Work directly with consulting and technical team members in designing analysis, developing code and programming, producing deliverables and analyzing results
Proactively troubleshoot and resolve barriers and issues to successful delivery
Establish, review, and validate quality of programming and analysis
Work with consultants and customers to evaluate and ensure the overall integrity of data and reporting results in meeting business needs and use requirements
Provide timely response to technical and business related questions/issues and providing consultative advice on use of data in meeting customer objectives
Master's degree in Math, Finance, and Actuarial Sciences
At least 4-5 years of professional contract compliance, payer contract deliverables, payer contract execution, payer contract deliverables
Healthcare experience in an actuarial firm or health plan
Experience with UW Medicine data systems
UW Medicine includes Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Neighborhood Clinics, UW Physicians, UW School of Medicine, and Airlift Northwest.
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergraduate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.