promotes employee growth, collaborative innovation, and inspired leadership. Forbes ranked Premera among America's 2023 Best Midsize Employers because we are committed to creating an environment where employees can do their best work and where best-in-class talent comes, stays, and thrives!
As a Payment Integrity Actuarial Analyst II , you will support the overall analytic objectives of the Payment Integrity Office. This role will execute payment integrity analyses including but not limited to, financial reporting, return on investment calculations, vendor invoice reconciliation, and data visualization or dashboarding. Activities include data extraction from complex databases, analytical
model creation and maintenance, preparation of enterprise level reporting, creation of externally facing customer reporting, as well as production of various reports and technical support to assist in the achievement of company financial and membership goals.
This is a hybrid role, with some onsite days required. You must live within driving distance of our Mountlake Terrace campus, located about 15 miles north of Seattle, Washington. What you'll do: Independently provide data and perform calculations related to payment integrity performance, new initiative impact analyses, opportunity analyses, provider reporting, and vendor performance reporting. Produce various analytical reports that
monitor utilization and cost trends, revenue, payment integrity impact, claims liability, membership, administrative costs, and provider reimbursement and performance as requested by both internal and external customers.
Create data visualization and dashboarding for enterprise level and externally facing analytics. Monitor data from internal departments, review it for content and accuracy, and identify associated problems. Develop and maintain computer programs to support various analyses, processes, and reports. Consider reproducibility and potential improvements. Consult with internal and external customers to backss the scope and complexity of projects.
Complete projects accurately and efficiently, within preset timelines, and regularly report status to supervisor and outcomes to customer. Prepare written documentation on all projects to provide a peer review trail and ensure continuity and integrity of position responsibilities. This includes organizing the project work plan, notes, output, proof of review, and other documentation. Present findings as needed to multiple levels of internal and client leadership. May assist in training of entry level analysts. What you'll bring: Bachelor's Degree in Mathematics, Actuarial Science, Statistics, Computer Science, or related field, or (4) years of work experience.
(Required) (2) years of actuarial or data analysis experience. (Required) Data visualization experience. Knowledge of health insurance concepts and terms. Experience in health insurance and/or actuarial department. Knowledge of SQL and other data querying tools. Proficiency in a computer programming language and aptitude to learn from others. Proficient with standard Microsoft Office products, such as Word, Excel, Power Point, Access, etc. Strong attention to detail and organizational skills. Must be able to conduct self and peer-reviews to ensure accuracy of work products.
What we offer Medical, vision and dental coverage Life and disability insurance Retirement programs (401K employer match and pension plan) Wellness incentives, onsite services, a discount program and more Tuition assistance for undergraduate and graduate degrees Generous Paid Time Off to reenergize Free parking Equal employment opportunity/affirmative action: Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, interaction, national origin, age, disability, marital status, veteran status, gender or gender identity, interactionual orientation, genetic information or any other protected characteristic under applicable law.
If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at xyz X@ or via phone at 425-918-xyz X. Premera is hiring in the following states, with some limitations based on role or city: Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin.
The pay for this role will vary based on a range of factors including, but not limited to, a candidate's geographic location, market conditions, and specific skills and experience. National Salary Range: $68,400.00 - $116,300.00 National Plus Salary Range: $77,300.00 - $131,400.00 National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska. PDN-9acd9304-bbcc-4f11-adf3-15d5f7da3006
