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Senior Director Risk Actuarial Services - Remote
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- The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers.
- Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.
- Direct all actuarial activities, including data collection, data integrity, and actuarial and risk models.
- This should include models that will meet the needs of all customer types and verticals, i.e., health plans, HMOs, self-insured, reinsurance, and workers compensation and be applicable across complex medical conditions including comorbidities and other risk factors.
- Analyze and model historical paid claims trends to support contract reserve requirements for existing booked business (in aggregate and for each product type and business line).
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