Jobs

PRIMARY FUNCTION: 

• The Manager, Actuarial Informatics is responsible for a specified team of informatics analysts.  He/she coordinates projects and manages the team informatics functions including the monitoring of cost & utilization trends, benchmarks, quality measure performance, disease burden capture and network performance. This team is the key provider of data, information, and detailed analytics used to measure performance of population health initiatives at Jefferson and identifying value based improvement opportunities. Supports targeted initiatives for the Jefferson Clinically Integrated Network, the Einstein Care Partners ACO, the Delaware Valley ACO and the Jefferson Clinical Enterprise. Assists in maintaining a critical interdependence between the Actuarial Informatics team, other areas of the Division of Populations Health, IT, Finance, Payor contracting and other key Jefferson stakeholders.

ESSENTIAL FUNCTIONS:

• Analytics
  • Develops and maintains data/reporting systems that allow for ease of data retrieval and manipulation from a variety of sources including EHR, quality, claims payment, utilization management, health plan risk pools, pharmacy, lab, internal charges, and others as necessary.
  • Responsibilities include the development and enhancement of Population Health “Key Performance Indicators and Metrics” used to measure and quantify Jefferson’s Population Health (and ACO) experience through real-time reporting, early indicator reporting, and prospective and retrospective analyses.
  • Develops financial models to assess performance of value based reimbursement arrangements.
  • Develops models to evaluate provider network and Jefferson contract proposals.
  • Identifies trends and recommends methods for reducing cost/utilization.
  • Coordinates requests for analysis from internal and external clients including assignment, mentoring and establishing timelines.
  • Performs research on industry performance measures.
  • Develops departmental and individual goals.
  • Ensures accuracy and readability of for all team projects.
  • Performs additional duties as assigned.
• Leadership
  • Responsible for managing team, communicating and assigning tasks as appropriate, performing yearly performance evaluations, etc.
  • Assist analysts in written analytic summaries used to communicate financial performance and trend analysis to Jefferson executives.
• Continuous Improvement
  • Maintains proficiency and expertise in Jefferson data applications, state of the art business intelligence software and reporting tools that include, but are not limited to, MS SQL Server Components (Query Analyzer & coding, Analysis Server, Stored Procedures, Jobs, and Functions), MS Fabric, Python, R, SAS, Qlik, PowerBI and Microsoft Office (Word, Excel, PowerPoint, and Access) to prepare complex multi-factorial analysis.
  • Continues development/enhancement of skill sets for direct reports. Actively pursues industry knowledge growth.

OTHER FUNCTIONS AND COMPETENCIES:

• Demonstrates strong mathematical, statistical, financial, technical, interpersonal, organizational, project management skills, and ability to maintain confidentiality.
• Demonstrates effective communication skills (oral and written).
• Demonstrates the ability to work independently, be a problem solver and decision maker, identify key business issues and develop appropriate action plans.
• Demonstrates literacy of health plan data and statistical analysis tools e.g. Python, R, SAS, SQL, Excel.
• Demonstrates managerial and leadership abilities and maintain effective working relationships throughout all levels throughout Jefferson
• Performs other duties as required for which the employee is qualified to perform.

EDUCATIONAL/TRAINING REQUIREMENTS:

Bachelor’s Degree in Mathematics, Actuarial Science, Statistics or related field required.

Master’s degree preferred.
Associate or Fellow in the Society of Actuaries and Member of the American Academy of Actuaries preferred.

EXPERIENCE REQUIREMENTS:

Minimum of 3-5 years of analysis experience related to health care or insurance with 1 year of supervisory experience preferred. In-depth knowledge of managed care and medical products.

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The purpose of the administrative assistant is to work with the Director of Operations on tasks related to the day-to-day running of the organization and the two annual conferences.

Essential Duties of Position

• Assist customers with registration for events (e.g. answer questions, provide technical support, process group registration)
• Maintain contact lists in association management system
• Assist with administrative tasks for all educational events
• Support the creation of conference materials
• Provide website login support to members
• Format documents such as slide decks, official statements and resources
• Schedule conference calls for conference and other educational events as necessary
• Contribute to team by accomplishing related tasks such as scheduling meetings and updating documents
• Run webinars

Qualifications

• Proficient with Microsoft Office
• Experience with association management systems
• Strong business writer
• Excellent written and verbal communication
• Well-organized and detail-oriented
• Professional
• Experience with using social media

Compensation, Worksite and Travel
This is a full-time position that assumes a 40-hour work week. The salary range is $40,000 - $45,000 depending on experience with benefits such as paid time off, health care insurance, and an employer 401K contribution. NAACOS maintains a virtual workplace with employees working from home offices. Twice a year this individual will be required to travel to the Baltimore-Washington, D.C. area for NAACOS in-person conferences.

To Apply
Interested applicants should submit a cover letter and resume to:  [email protected]

About NAACOS. The National Association of ACOs represents more than 9 million beneficiary lives through Medicare’s population health-focused payment and delivery models. NAACOS is a member-led and member-owned nonprofit of more than 450 ACOs in Medicare, Medicaid, and commercial insurance working on behalf of health systems and physician provider organizations across the nation to improve quality of care for patients and reduce health care cost.

NAACOS is an Equal Opportunity Employer: NAACOS will provide all applicants and all employees with an equal opportunity regardless of sex, race, color, religion, national origin, age, marital status, personal appearance, sexual orientation, family responsibilities, disability, or political affiliation.

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Compliance Manager, ACO Compliance Officer

Tandigm Health, a transformational leader in population health management, is looking for a Compliance Manager, ACO Compliance Officer in the Greater Philadelphia area. We offer a competitive compensation and benefits package and are proud to share a culture of diversity and inclusion.

We are seeking a Compliance Manager, ACO Compliance Officer, to join our team and oversee critical aspects of Tandigm’s Compliance Program. In this role, you will assist the Corporate Compliance Officer and serve as the Compliance Officer for Tandigm’s Accountable Care Organizations (ACOs), ensuring that systems and processes operate effectively and align with federal and state laws, company policies, and contractual obligations.

As a key leader in compliance, you will support and monitor program activities as well as foster adherence to regulations and promote a culture of accountability and integrity. If you have a strong understanding of healthcare compliance, especially with Accountable Care Organizations, and are committed to maintaining the highest standards, this opportunity is an excellent fit for your expertise. Join us at Tandigm Health and make a meaningful impact in the ever-evolving healthcare landscape.

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