Actuarial - Healthcare Economist
Job title: Actuarial - Healthcare Economist in USA at Florida Cancer Specialists
Company: Florida Cancer Specialists
Job description: Date Posted: 2025-05-07Country: United States of AmericaLocation: Florida - RemoteWHY JOIN FCSAt Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages.Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance.A LITTLE BIT ABOUT FCSSince 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. Our patients have access to ground-breaking therapies, in a community setting, and may participate in national clinical research studies of drugs and treatment protocols. In the past five years, the majority of new cancer drugs approved for use in the U.S. were studied in clinical trials with FCS participation prior to approval.Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients.Come join us today!Summary:The Actuarial – Healthcare Economist performs actuarial analysis pertinent to FCS businesses, including the Value-Based Care Program Portfolio and the analysis and supportive development of new alternative payment models and population health management. This individual should be proficient in actuarial science methodologies and develop / use relevant tools, databases, and record systems to gather and synthesize information for interpretation. The Actuarial – Healthcare Economist will provide detailed analysis, build forecasting models, consult with business leaders, and provide advice and recommendations for risk assessment and mitigation efforts across business units. They will assess affordability analytics in support of medical cost reduction, quality of care improvement, and increase in high-value care delivery and patient satisfaction. Additionally, they will prepare projections for market trends and relevant impacts to VBC programs using healthcare economics techniques and methods. This individual may also oversee actuarial or underwriting staff.PRIMARY TASKS AND RESPONSIBILITIES:
Maintain working knowledge of current value-based care contracts, programs, and initiatives
Collaborate with cross-functional teams to develop and implement value-based care models, payment structures, and reimbursement mechanism that’s align with incentives with improved patient outcomes / high value care.
Conduct in-depth analysis of healthcare data, claims utilization patterns, and cost trends to inform the development of actuarial models and economic forecasts.
Provide expert guidance on healthcare policy implications, regulatory changes, and market trends that may impact value-based care strategies.
Work closely with data scientists and healthcare professionals to design and refine models for risk adjustment, cost-sharing, performance measures.
Collaborate with internal and external stakeholders to communicate complex findings in a clear and concise manner, including presentations, reports, and recommendations.
Assess the financial impact of proposed value-based care programs, utilizing actuarial methodologies and economic principles to forecast potential incentives and risks.
Develop detailed analysis, build forecasting models, and trend analysis to present to key leaders and decision makers.
EDUCATION/CERTIFICATIONS & LICENSES:
Bachelor’s degree (B.A.) in actuarial science, healthcare economics, quantitative analysis, mathematics, or a closely related field; statistics background would prove helpful in this role.
Master’s degree in healthcare economics, Actuarial Science, Economics, analytics, or related field preferred.
ASA of FSA designation with ability to sign pricing and reserving opinions a plus.
EXPERIENCE:
Experienced healthcare economist or actuary, preferably with a large-scale payer or equivalent solution provider. Experience with healthcare actual and underwriting functions required to successful meet the needs of understanding organizational risk.
Proficiency in database querying tools and strong data management skills.
Strong understanding of data systems and sources and how it impacts the data available.
Working knowledge of medical claims, billing practices, and health insurance requirements
Experience in building forecasting models and conducting budget impact analysis
Knowledge of actuarial landscapes of payers, the value metrics they use, principal calculation methods
CORE COMPETENCIES, KNOWLEDGE/SKILLS/ABILITIES:
Analysis & Critical Thinking; using resources available to solve problems and research solutions independently
Strong interpersonal skills to include effective verbal and written communication
Solid time management with the ability to prioritize multiple tasks
Must have strong organizational skills to prioritize tasks independently and track performance, communications, and outreaches to assigned territory
Ability to collaborate across various levels of management, departments, and teams
Must be comfortable with providing timely feedback in remote and in-person setting to physician and operational leadership clientele
Comfortable negotiating problems and exploring solutions with physician, upper management, and FCS leadership
VALUES:
Patient First – Keeping the patient at the center of everything we do
Accountability – Taking responsibility for our actions
Commitment & Care – Upholding FCS vision through every action
Team – Working together, one team, one mission
Expectations for all EmployeesEvery FCS employee is expected to regularly conduct themselves in a professional and respectful manner, to comply with all labor laws, workplace policy and workplace practices. Employees are expected to bring issues of any forms of workplace harassment, discrimination, or other potential improprieties to the attention of their management or the human resources department.#FCS-CORP#LI-YB1SCREENINGS – Background, drug, and nicotine screensSafeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve. All offers of employment at Florida Cancer Specialists & Research Institute are contingent upon clear results of a thorough background screening. Additionally, as a condition of employment, FCS requires all new hires to receive various vaccinations, including the influenza vaccine, barring an approved exemption. In addition, FCS is a drug-free workplace, and all new hires will be subject to drug/ nicotine testing. Medical Marijuana cards are not recognized.EEOCFlorida Cancer Specialists & Research Institute (FCS) is committed to helping individuals with disabilities to participate in the workforce and ensure equal opportunity to compete for jobs. If you require an accommodation to submit a resume for positions at FCS, please email FCS Recruitment ( ) for further assistance. Please note this email address is intended to request an accommodation as part of the application process. Any other correspondence will not receive a response.FCS is an EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability or any other legally protected status.
Expected salary:
Location: USA
Apply for the job now!
Apply Now
Company: Florida Cancer Specialists
Job description: Date Posted: 2025-05-07Country: United States of AmericaLocation: Florida - RemoteWHY JOIN FCSAt Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages.Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance.A LITTLE BIT ABOUT FCSSince 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. Our patients have access to ground-breaking therapies, in a community setting, and may participate in national clinical research studies of drugs and treatment protocols. In the past five years, the majority of new cancer drugs approved for use in the U.S. were studied in clinical trials with FCS participation prior to approval.Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients.Come join us today!Summary:The Actuarial – Healthcare Economist performs actuarial analysis pertinent to FCS businesses, including the Value-Based Care Program Portfolio and the analysis and supportive development of new alternative payment models and population health management. This individual should be proficient in actuarial science methodologies and develop / use relevant tools, databases, and record systems to gather and synthesize information for interpretation. The Actuarial – Healthcare Economist will provide detailed analysis, build forecasting models, consult with business leaders, and provide advice and recommendations for risk assessment and mitigation efforts across business units. They will assess affordability analytics in support of medical cost reduction, quality of care improvement, and increase in high-value care delivery and patient satisfaction. Additionally, they will prepare projections for market trends and relevant impacts to VBC programs using healthcare economics techniques and methods. This individual may also oversee actuarial or underwriting staff.PRIMARY TASKS AND RESPONSIBILITIES:
Maintain working knowledge of current value-based care contracts, programs, and initiatives
Collaborate with cross-functional teams to develop and implement value-based care models, payment structures, and reimbursement mechanism that’s align with incentives with improved patient outcomes / high value care.
Conduct in-depth analysis of healthcare data, claims utilization patterns, and cost trends to inform the development of actuarial models and economic forecasts.
Provide expert guidance on healthcare policy implications, regulatory changes, and market trends that may impact value-based care strategies.
Work closely with data scientists and healthcare professionals to design and refine models for risk adjustment, cost-sharing, performance measures.
Collaborate with internal and external stakeholders to communicate complex findings in a clear and concise manner, including presentations, reports, and recommendations.
Assess the financial impact of proposed value-based care programs, utilizing actuarial methodologies and economic principles to forecast potential incentives and risks.
Develop detailed analysis, build forecasting models, and trend analysis to present to key leaders and decision makers.
EDUCATION/CERTIFICATIONS & LICENSES:
Bachelor’s degree (B.A.) in actuarial science, healthcare economics, quantitative analysis, mathematics, or a closely related field; statistics background would prove helpful in this role.
Master’s degree in healthcare economics, Actuarial Science, Economics, analytics, or related field preferred.
ASA of FSA designation with ability to sign pricing and reserving opinions a plus.
EXPERIENCE:
Experienced healthcare economist or actuary, preferably with a large-scale payer or equivalent solution provider. Experience with healthcare actual and underwriting functions required to successful meet the needs of understanding organizational risk.
Proficiency in database querying tools and strong data management skills.
Strong understanding of data systems and sources and how it impacts the data available.
Working knowledge of medical claims, billing practices, and health insurance requirements
Experience in building forecasting models and conducting budget impact analysis
Knowledge of actuarial landscapes of payers, the value metrics they use, principal calculation methods
CORE COMPETENCIES, KNOWLEDGE/SKILLS/ABILITIES:
Analysis & Critical Thinking; using resources available to solve problems and research solutions independently
Strong interpersonal skills to include effective verbal and written communication
Solid time management with the ability to prioritize multiple tasks
Must have strong organizational skills to prioritize tasks independently and track performance, communications, and outreaches to assigned territory
Ability to collaborate across various levels of management, departments, and teams
Must be comfortable with providing timely feedback in remote and in-person setting to physician and operational leadership clientele
Comfortable negotiating problems and exploring solutions with physician, upper management, and FCS leadership
VALUES:
Patient First – Keeping the patient at the center of everything we do
Accountability – Taking responsibility for our actions
Commitment & Care – Upholding FCS vision through every action
Team – Working together, one team, one mission
Expectations for all EmployeesEvery FCS employee is expected to regularly conduct themselves in a professional and respectful manner, to comply with all labor laws, workplace policy and workplace practices. Employees are expected to bring issues of any forms of workplace harassment, discrimination, or other potential improprieties to the attention of their management or the human resources department.#FCS-CORP#LI-YB1SCREENINGS – Background, drug, and nicotine screensSafeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve. All offers of employment at Florida Cancer Specialists & Research Institute are contingent upon clear results of a thorough background screening. Additionally, as a condition of employment, FCS requires all new hires to receive various vaccinations, including the influenza vaccine, barring an approved exemption. In addition, FCS is a drug-free workplace, and all new hires will be subject to drug/ nicotine testing. Medical Marijuana cards are not recognized.EEOCFlorida Cancer Specialists & Research Institute (FCS) is committed to helping individuals with disabilities to participate in the workforce and ensure equal opportunity to compete for jobs. If you require an accommodation to submit a resume for positions at FCS, please email FCS Recruitment ( ) for further assistance. Please note this email address is intended to request an accommodation as part of the application process. Any other correspondence will not receive a response.FCS is an EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability or any other legally protected status.
Expected salary:
Location: USA
Apply for the job now!
Apply Now