Discovery – Health

Actuarial Analyst

About Discovery

Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society.

About Risk Intelligence

This is a highly specialized team of Actuaries, Data Scientists and Clinicians who regularly interact with Discovery executives, Medical Scheme Boards of Trustees, external actuaries, brokers and regulators. The responsibility of the Actuaries involves analysis of claims experience, applying the principles of risk adjustment for the Discovery Health Medical Scheme, SA's largest medical scheme, employer schemes administered by Discovery Health, Vitality Health International Africa and adjacent health products including Flexicare and Gap cover. These functions play a key role in understanding and managing the claims experience for these schemes and insurance products.

Key Purpose

Discovery Health administers a number of closed in-house employer medical schemes, as well as the largest open scheme in South Africa, the Discovery Health Medical Scheme. The Risk Intelligence team is responsible for the measurement and reporting of clinical experience for each of our client schemes, providing actuarial analytic support for managed care interventions, healthcare quality reporting initiatives, provider contracting, and clinical profile reports of clinician utilisation patterns and adherence to evidence based clinical process measures.

You will be responsible for technical healthcare actuarial analysis, which may include regular monitoring reports, as well as detailed investigations for various initiatives. You will be expected to deliver clear and reliable results on tight and high pressured deadlines at times. The job entails applying the principles of risk adjustment, in the healthcare context, to the clinical analysis of claims data to deepen understanding of the scheme experience for guiding appropriate interventions to ensure sustainability through improvement of efficiency and quality of care. You may also be involved in assisting with the pricing of exciting new Discovery Health products before their launch. Data and model findings need to be clearly communicated to business users.

Competencies required:

• Excellent conceptual and technical ability
• Excellent communications, both written and verbal
• Excellent analytical capability and aptitude
• Comfortable presenting to stakeholders and team
• Healthcare experience and an understanding of clinical risk adjustment methodologies
• Manage complexity
• Excellent conceptual and technical ability
• Accuracy
• Verbal and written Communication

Personal Attributes and Skills

• Aligned to Discovery values and core purpose
• An interest in the South African healthcare and medical scheme environment
• Exceptional analytical and problem solving skills
• High-level of attention to detail
• Results orientated and commercial thinking
• Excellent communication and presentation skills
• A focus on delivering results and meeting client expectations
• Ability to work collaboratively in a team environment and balance multiple priorities
• Ability to work alone when required and to take initiative without supervision
• Comfortable with change and a fast paced work environment
• Unwaveringly ethical and able to maintain confidentiality

Qualifications & Experience:

• Actuarial science or Mathematical Statistics undergraduate degree
• Completion of CT series of actuarial board examinations
• Data and analytic work experience (1-3 years) (Beneficial)
• Understanding of risk adjustment methodologies (Beneficial)

EMPLOYMENT EQUITY   
                             
The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.