GENERAL SUMMARY:

The Vice President, Actuarial and Analytics, is responsible for all HAP (including HAP Midwest) financials analysis including predictive modeling, medical expense budgeting and tracking and together with Underwriting and Finance, coordination with consulting actuaries for rate filings and year end certifications.

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PRINCIPAL DUTIES AND RESPONSIBILITIES:

· Lead a team that develops analytics that serve as the foundation for medical cost reporting and projections.

· Develop annual medical expense budgets and routine variance reports to track performance.

· Serve as Business owner for the Enterprise Data Warehouse

· Partner with Medical Management, Operations and others to develop, track and validate opportunities to appropriately reduce medical expenses.

· Continuously improve analytic techniques and predictive models to support medical cost reduction and health cost initiatives

· Supports development of revenue and claim estimates including but not limited to risk scores & adjustments, claim reserves, premium deficiency reserves drug rebates and reinsurance recoveries and reserves.

· Works closely with the Sales and Underwriting staff in the development and production of customer reports.

· Develops and produces timely and meaningful reports for providers and provider groups including information on cost, quality, utilization and risk score performance.

· Compiles, maintains, and analyzes data for physician and other professional fee schedules including participating PCPs and specialists, and non-participating physicians to identify cost savings opportunities.

· Compiles, maintains, and analyzes hospital and other facility rates to identify cost savings opportunities leading to local initiatives. Reviews and facilitates Requests for Proposals (RFPs) from ancillary providers whose services match a need in a local or regional contract. Analyzes and recommends resolutions of contract barriers, considering prevailing local nuances.

· Ensures implemented systems are meeting the desired objectives, participates in optimization initiatives, and recommends remediation tactics as necessary. Stays current on informatics trends, experiences and approaches, helps to develop application implementation strategies and assists in the development of strategic plans for clinical information systems.

EDUCATION/EXPERIENCE

· Bachelor's degree in a finance or quantitative discipline, Master's degree preferred

· Actuarial Background and/or Actuarial Credential ASA or FSA preferred

· 6+ years of full time experience leading data driven projects/initiatives using advanced analytical techniques

· 3+ years in the Healthcare industry including experience in Commercial, Medicare and/or Medicare, etc.

· At least 5 years of managerial experience, preferably directing other leaders

· Advanced proficiency in Excel, especially model development

· Experience with data visualization tool, Tableau preferred

Overview

Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health

care systems, is a national leader in clinical care, research and education. The system includes

the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health

insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory

network and many other health-related entities throughout southeast Michigan, providing a

full continuum of care. In 2015, Henry Ford provided $299 million in uncompensated care.

The health system also is a major economic driver in Michigan and employs more than 24,600

employees. Henry Ford is a 2011Malcolm Baldrige National Quality Award recipient. The

health system is led by President and CEO Wright Lassiter III. To learn more, visit .

Benefits

Whether it's offering a new medical option, helping you make healthier lifestyle choices or

making the employee enrollment selection experience easier, it's all about choice. Henry

Ford Health System has a new approach for its employee benefits program - My Choice

Rewards. My Choice Rewards is a program as diverse as the people it serves. There are

dozens of options for all of our employees including compensation, benefits, work/life balance

and learning - options that enhance your career and add value to your personal life. As an

employee you are provided access to Retirement Programs, an Employee Assistance Program

(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness

and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other

benefits and services.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.