Sorry, this listing is no longer accepting applications. Don’t worry, we have more awesome opportunities and internships for you.

Senior Project Manager - Engineering

BMC HealthNet Plan

Senior Project Manager - Engineering

National
Full Time
Paid
  • Responsibilities

    The Senior Actuarial Analyst is a key member of the Finance / Actuarial Services team.  With minimum guidance and supervision, the Senior Actuarial Analyst applies knowledge of mathematics, probability, statistics, and principles of business in order to provide assistance and technical support for more extensive rating/pricing, reserving, medical economics, financial forecasting, and/or healthcare data analytics. The Senior Actuarial Analyst works with a team of actuaries to assure a coordinated approach to the actuarial components of health programs, and provides actuarial support to Finance, and/or other departments in the company.

     

    KEY FUNCTIONS/RESPONSIBILITIES:

    • Analyzes financial, statistical and mathematical data and performs actuarial calculations.
    • Leads or supports the rate development through analyses of benefit design, rating factors, claims experience, regulatory mandates, admin expense allocation, and projection of future claim cost.
    • Leads or supports regulatory rate filings, and prepares data for additional inquiries and requirements.
    • Leads or supports the development of monthly IBNR reserve estimates for different line of business.
    • Prepares monthly accruals and contract settlements for different line of business.
    • Leads or supports financial budget, reforecast and other financial projections.
    • Evaluates and makes recommendations regarding the adequacy of capitation rates from state Medicaid programs or other new program.
    • Leads or assists in risk adjustment analyses and risk score simulations.
    • Leads or supports trend development, trend drivers study, and/or provider contract analytics.
    • Maintains established reports for internal needs or regulatory requirements.
    • Participates in internal and external audits.
    • Participates in requirements gathering for and serves as delegate or backup for corporate initiatives/projects. Generates ideas and analytical approaches for corporate initiatives/projects.
    • Designs or updates SQL/SAS queries and programs to extract data from data warehouse, and reviews the data to ensure accuracy and validity.
    • Serves as data expert for department. Advises Finance department on data warehouse design, requests and works with IT to establish priorities.
    • Initiates and leads efforts to improve quality and efficiency of actuarial models, analyses and reports.
    • Summarizes findings and recommendations, documents the process.
    • Develops presentations and communicates to senior management or external parties.
    • Shares knowledge and provides training to new employees.

     

    QUALIFICATIONS:

    EDUCATION:

    • Bachelor’s Degree in Mathematics, Actuarial Science, Finance, Economics or related fields.

    EXPERIENCE:

    • At least 4 years of progressively responsible experience in actuarial analysis, data modeling, informatics and analysis. Commensurate educational experience in related field will be considered.

    PREFERRED/DESIRABLE:

    • A background in managed healthcare, insurance operations.
    • Master’s degree.
    • ASA or FSA

    COMPETENCIES, SKILLS, AND ATTRIBUTES_:_

    • Should be experienced in MS Office products, SQL, and SAS or other statistical software.
    • Should be proficient in Excel.
    • Should be an experienced user of healthcare data. 
    • Ability to meet deadlines, multi-task, problem solve and use appropriate technology to analyze business problems.
    • Ability to work collaboratively with team members and other departments.
    • Strong communications skills.

     

    *Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

    Required Skills Required Experience

  • Qualifications
    • REPORTS TO THE DIRECTOR OF CAPITAL PROJECTS.

    • Manages the design process to ensure consultants follow Metro design criteria.

    • Ensures all relevant Agency departments review periodic design submittals. Addresses all comments received.

    • Ensures consultants comply with NEPA requirements and obtain all necessary permits and agreements.

    • Determines that all work performed and all materials furnished are in accordance with the contract documents.

    • Document changes that occur in the field to the contract drawings. Ensure all changes are incorporated in the record drawings.

    • Responsible for witness, inspection, and factory acceptance testing as required at the factory or fabrication plant. Document all tests witnessed for concrete, steel, etc. and log in the Field Inspection Report Log.

    • Ensures that the contractors comply with their respective safety and QA/QC plans.

    • ASSISTS IN THE PREPARATION OF CONSTRUCTION AND DESIGN COST ESTIMATES.

    • Maintains Daily Inspection Diary indicating all inspection, testing and management activity, site location, contractor contact made, progress made, contractor work force, materials delivered and used, and equipment on site.

    • Prepares the final inspection Punch Lists, and ensures subsequent completion of all work noted on the Punch Lists.

    • Ensures that all materials requiring testing are identified. Ensures results of any testing are properly reviewed, evaluated, and reported; and if required remedial action is taken.

    • Communicates understanding and support of organization goals through actions and spoken and written words; interacts effectively with individuals and groups at all levels; maintains ties with external organizations; keeps all interested and involved parties informed of matters requiring their attention.

    • Implements established means of coordinating project plan and schedules with other projects activities; report delays and problems promptly and take appropriate actions to maintain effective coordination of activities; ensure that activities do not conflict with organization goals.

    • Reviews plans and specifications to determine adequacy for construction and adherence to acceptable construction standards and practices.

    • Works with private utility companies to coordinate relocation of utilities, obtain estimates, write purchase requisitions, monitor progress and approve payment.

    • Monitors and reviews the work of consultants. Meets with Agency management officials and staff to advise on work activities and resolve problems impacting the scheduled completion of the project.

    • Organizes and attends periodic meetings with contractors to discuss project, specifications, unusual conditions, the contractor’s plan and schedule of operations and other pertinent items conducive to clear understanding of project.

    • Develops plans to meet unexpected situations, new developments and changes in the business environment; prepares for emergencies; anticipate events; understands the factors and conditions affecting the project and respond appropriately when these change.