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Director, Actuarial Analytics

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Job Description

Job Description:

Job Summary

Serves as the lead healthcare actuarial resource for Walgreens. Provides expertise in defining, communicating, and managing the risk/reward of pay-for-performance (P4P) and value-based contract models in the pharmacy space, particularly as they relate to adherence metrics. Related activities could include marketplace monitoring, contract provision review, metric development, performance reporting & monitoring, and performance forecast modeling. Provides expertise in defining and developing actuarial models and reports to demonstrate the value of Walgreens as a healthcare partner to B2B clients (payers, PBMs, health systems). Related activities could include opportunity analyses, feasibility modeling, predictive analytics, trend management reporting development & production.

Job Responsibilities

+ Serves as internal expert with respect to the pay-for-performance/value-based contracting provisions of pharmacy contracts. Leads team in providing contract review, metric development, performance reporting & monitoring, performance forecast modeling, and data/reporting reconciliation. Shares complex information with clarity with cross-functional teams and senior management and makes recommendations on strategies and operating plans to position organization for success against P4P contract provisions. Collaborates with multiple internal business units, including pharmacy operations, to ensure analytic inputs can be consumed in operational workflow.

+ Leads team in providing expertise to define, develop and scale actuarial models and special reports to demonstrate the value of Walgreens as a healthcare partner to B2B clients (payers, PBMs, health systems). Related activities could include opportunity analyses, feasibility modeling, exposure analyses, predictive analytics, and trend management reporting.

+ Serves as internal expert on data sources and methodologies used by third-parties to assess company performance on metrics included in P4P contracts; identifies and communicates risks/opportunities within established measurement specifications.

+ Monitors industry developments related to pay-for-performance and the move from volume-to-value; shares insights and recommendations internally in terms of impact and opportunity to Walgreens.

+ Directs and oversees actuarial activities and projects by ensuring workflow completion within prescribed timeframes, and compliance with established procedures and regulations.

+ Attends and/or presents findings and results on behalf of the company at major industry conventions and professional conferences to enhance Walgreen’s overall market position in healthcare.

+ Develops and mentors staff through on-boarding, open communication, training and development opportunities and performance management processes; builds and maintains employee morale and motivation; ensures the team is appropriately staffed with required competencies; fosters a diverse and inclusive workplace.

Walgreens, one of the nation’s largest drugstore chains, is included in the Retail Pharmacy USA Division of Walgreens Boots Alliance, Inc., the first global pharmacy-led, health and wellbeing enterprise. More than 10 million customers interact with Walgreens each day in communities across America, using the most convenient, multichannel access to consumer goods and services and trusted, cost-effective pharmacy, health and wellness services and advice. Walgreens operates 8,175 drugstores with a presence in all 50 states, the District of Columbia, Puerto Rico and the U.S. Virgin Islands. Walgreens omnichannel business includes Approximately 400 Walgreens stores offer Healthcare Clinic or other provider retail clinic services.

As the neighborhood drugstore and retailer, our goal is to make health and happiness simpler, easier and within reach. And we remain a trusted wellness provider offering convenient access to important health services, such as immunizations and an array of pharmacy services that can help patients improve their health. To our team members, Walgreens represents a unique opportunity to excel in their careers in a welcoming and inclusive environment. We offer the chance to work in a truly supportive environment, and be a part of a progressive organization dedicated to the well-being of our customers, team members and the communities we all call home.

Job ID: 303055BR

Title: Director, Actuarial Analytics

Company Indicator: Walgreens

Employment Type:

Job Function: Finance/Accounting

Full Store Address: 102 WILMOT RD,DEERFIELD,IL 60015

Full District Office Address: 102 WILMOT RD,DEERFIELD,IL,60015-05104-01102-2

External Basic Qualifications:

+ Bachelor’s Degree and at least 6 years actuarial experience OR High School / GED and at least 9 years actuarial experience.

+ Associate of the Society of Actuaries.

+ At least 6 years of experience in the healthcare industry.

+ Experience with statistical analysis software such as SAS, SPSS, Stat, etc.

+ Intermediate level experience with MS Office Suite.

+ Experience developing and delivering presentations to various audience levels, including clients and senior executives.

+ At least 2 years of experience planning, developing, and managing departmental expense, project and/or capital budgets.

+ At least 3 years of experience of direct leadership and/or cross functional team leadership.

+ Willing to travel up to 15% of the time for business purposes (within state and out of state).

Preferred Qualifications:

+ Fellow of the Society of Actuaries.

+ Demonstrated involvement with healthcare industry or professional association (e.g. serving on a committee, speaking at conferences, authoring content).

+ Healthcare consulting experience.



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