October 17, 2024

Health Solutions

Centurion

OTHER

Actuarial Analyst

Introduction

Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation, and create value through unique insights of how to achieve specific outcomes by using a defined set of Health capabilities.

Disclaimer

As an applicant, please verify the legitimacy of this job advert on our company career page.

Role Purpose

The Actuarial Analyst will be using their skills to assist the business with provider profiling and reporting, provider network considerations, and commercial provider negotiations.

Requirements

Degree in Actuarial Science (preferred) or a degree in Data Science.
Partial progress in actuarial exams.
1-2 years corporate experience will be valuable.
Proficient in standard business packages –; e.g. Excel (preferred), SQL, VBA.

Duties & Responsibilities

Assist in the development of provider network models, profiling and overall access monitoring and evaluation of network performance in line with client medical schemes’ specific risk profile.
Develop, review, and execute provider models , within the agreed upon service level agreement, in alignment with established guidelines and given compliance parameters.
Collaborate with the provider team to contribute insights and recommendations for continuous improvement of our network strategy and pricing structures.
Monitor market trends and competitor design.
Foster collaborative relationships within Momentum Health Solutions to enhance synergy and maximise collective success.
Maintain detailed records, ensuring accuracy and accessibility for future reference.
Generate regular Monitoring and Evaluation reports on impact of discounted or negotiated rates.
Improving efficiency in the team by continual improvement of models and reports, using VBA, cubes and data visualisation tools.
Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service
Collaborate and build relationships with product development and segment teams across Momentum Health Solutions
Make recommendations to improve client service and fair treatment of clients within area of responsibility
Positively influence and participate in change initiatives.
Continuously develop own expertise in terms of professional, industry knowledge.
Contribute to continuous innovation through the development, sharing and implementation of new ideas.
Take ownership for driving career development.
Effectively manage time and ensure optimal productivity.