The mission for Payformance Solutions is simple. We aim to be a catalyst for payment transformation in the healthcare industry. Our proprietary software solutions allow payers and providers to focus on what really matters: providing patients with access to care that yields the best health outcomes, at the lowest costs.

Senior Healthcare Actuary at Payformance Solutions
Position: Senior Healthcare Actuary
Office: Chicago, IL

Why we’re excited to get to work:

The mission for Payformance Solutions is simple. We aim to be a catalyst for payment transformation in the healthcare industry. Our proprietary software solutions allow payers and providers to focus on what really matters: providing patients with access to care that yields the best health outcomes, at the lowest costs.

The healthcare industry is complex and fragmented. Payers and providers are faced with a lack of transparency and conflicting financial goals that fail to consider the health outcomes of patients. Payformance Solutions offers data-driven, turnkey software solutions that provide payers and providers with the technical tools and resources needed to design, evaluate, build, measure, and negotiate value-based reimbursement contracts — as a neutral third party. Our holistic solutions allow payers and providers to collaborate in an ecosystem that aligns financial goals with patient outcomes.

What we are looking for:

  • We are currently seeking a senior healthcare actuary to partner with our growing team of software engineers, data architects, data analysts, and healthcare policy experts in our Chicago, IL office. This professional enjoys being in a fast-paced, start-up environment, tackling new challenges as they arise.  In addition to analyzing financial and claims data, the senior healthcare actuary will have the opportunity to assess health outcomes, quality of care, clinical program effectiveness, and risk adjustment.  Understanding the macro- and micro- trends driving the healthcare industry towards value-based care (VBC) financial arrangements, as well as nuances and financial / operational constraints payers and provider face will be key to the success of this role.  The senior healthcare actuary is an important position which and will make mission-critical contributes and have a voice in driving the direction and strategy of the company.    

What you’ll do:

  • You process information like an engineer, dream of front-end applications like a creative designer, have the drive of a hungry-entrepreneur BUT maintain the voice of a diplomat.
  • You are an analytics person who is passionate about solving real problems with technology. As the bridge between technical and business worlds, it’s essential that you are a guiding light, constantly organizing and executing strategy based on data driven decisions and hypotheses, aligning with company leaders, executing and measuring result.
  • You want to build things that matter. You are a self-starter that places high value on quantitative analysis to drive product management towards scale and growth. You understand project prioritization at a macro level, but live in the trenches with the teams to outline details, guide execution and own accountability.
  • Serve as the subject matter expert on strategic and operational challenges faced by health systems in pursuing a value-based care agenda.  This includes serving as a technical resource / lead as it relates to statistical analysis and methodologies. 
  • Use your industry knowledge to apply actuarial concepts and methods to a range of complex health policy and business issues, formulate innovative strategies, and provide meaningful solution for clients.
  • Collaboratively engage health system leaders on the business case for action, framing decisions around the best fit solutions that address their challenges: (1) Interact with provider members to assess strategic context and operational constraints, (2) Develop a fact-based perspective on customer/end-user needs, constraints and opportunities, (3) Estimate the value potential of executing on specific innovation opportunities and (4) Interact with technology-enabled solution vendors to evaluate solution effectiveness
  • Support “beta” clients interacting with Payformance Solutions products
  • Contributing to an innovative and team-oriented work environment with individual accountability and ownership to the success of the company

Keywords:  actuary, actuarial, healthcare actuary, medical economics, value based care, data analysis, data analytics, managed care, managed care contracting, provider contracting, health economist, VBC, senior healthcare actuary, healthcare analytics, healthcare, healthcare consulting, statistical analysis, health policy, healthcare policy


What you’ll bring to the table:

  • Bachelor’s Degree in statistics, mathematics, economics, business, healthcare administration, or related field; Master’s degree strongly preferred
  • Experience in using statistical analysis to identify / forecast risks and liabilities
  • A solid understanding of value based care and / or provider contracting
  • 8+ years of actuarial experience
  • Experience within the healthcare and consulting industries is strongly preferred
  • Leadership mentality with the ability to communicate clearly and concisely across the organization

How we’ll support you:

In addition to the meaningful and challenging work, Payformance’s dynamic work environment emphasizes integrity, personal commitment, and teamwork. We offer an outstanding benefits program that includes:

  • A competitive annual salary
  • 100% employer-paid medical option (employee, spouse, family)
  • 100% employer-paid life insurance policy
  • 100% employer-paid short-term and long-term disability insurance
  • 401k Retirement Plan (5% employer contribution)
  • Healthy work/life balance… Our flexible office hours and time-off allows you to make the most of your time in and out of the office to fit your needs. Plus, an optional work-from-home day once a week (after 3 months)
  • Tuition reimbursement
  • Annual personal learning budget (books, conferences, etc.)
  • Thirsty Thursday team building events
  • Free gym Access
  • Awesome coworkers
  • Work with a highly collaborative and values-driven team


Not to boast, but a little bit about us:

Payformance Solutions is a health-tech company dedicated to advancing payment transformation in the healthcare industry. We are a wholly owned subsidiary of Altarum Institute, a nonprofit systems research and consulting organization that has been servicing government and private sector clients since 1946.

Altarum Institute combines the analytical rigor of a research institution with the business agility of a consulting firm, the Institute is uniquely positioned to deliver practical, systems-based health and healthcare solutions to its clients. Altarum’s nonprofit status ensures that the public interest is always preeminent in our work. Our dedication to social responsibility is evident in all that we do, serving the public good with integrity and enabling others to do the same. Altarum develops and promote best practices in the application of information technology to health and health care. Applying systems research principles and analytic objectivity, we work to increase access to health information; improve the organization and usability of health information; and develop new knowledge from health information. We work to achieve these goals by addressing all aspects of information technology —policy and planning efforts, system design and development, information exchange, and the management and evaluation of specific information technology and strategies.

At Payformance, we don’t just accept difference - we celebrate, support, and thrive on it for the benefit of our employees, our clients, and our community. Payformance Solutions is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, status as a protected veteran, or disability.

 

To all recruitment agencies: Payformance does not accept agency resumes, we are not responsible for any fees related to unsolicited resumes.

 


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Why work with us
We are building an amazing team in our Chicago headquarters to create innovative payment solutions in an ever-changing industry that's important to all of us -- healthcare. We will support your technical and creative talents while doing something that matters!
Culture
Not to boast, but a little bit about us: Payformance Solutions is a health-tech company dedicated to advancing payment transformation in the healthcare industry. We are a wholly owned subsidiary of Altarum Institute, a nonprofit systems research and consulting organization that has been servicing government and private sector clients since 1946.
Perks & Benefits
100% employer paid medical options available
Tuition reimbursement program
Free gym access
401K retirement fund contribution (5%)
Thirsty Thursday team building events
Healthy work/life balance… Our flexible office hours and time-off allows you to make the most of your time in and out of the office to fit your needs. Plus, an optional work-from-home day once a week (after 3 months)
Work with a highly collaborative and values-driven team
Awesome co-workers!

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