Business Development Analytics Lead

Job Level:  Professional
Location: 

Sinelfil, LB

Area of Expertise:  Sales & Distribution
Unit:  Allianz Partners
Employing Entity:  NEXTCARE Claims Management LLC
Job Type:  Full-Time
Remote Job:  Hybrid working
Employment Type:  Permanent
ID:  78031
Position Cluster:  Non-Executive

Key responsibilities/ What you do:

 

The Business Development Analytics Lead will play a critical part in enabling data-driven payer discussions and advancing our ability to design, price, and optimize value-based offerings. The role will focus on analyzing payer utilization, network claims performance, policy utilization patterns, and assessing beneficiary cost-efficiency to optimize the overall performance of health insurance programs. The role involves advanced statistical modeling, cost analysis, and strategic forecasting in collaboration with cross-functional teams to ensure health insurance products remain profitable and aligned with the needs of beneficiaries. You will lead efforts to ensure effective risk management across health insurance networks and help shape policy recommendations to improve the financial outcomes of health programs across the MEA region.

 

Main tasks:

 

  • Product Pricing & Profitability: Provide actuarial support in pricing new TPA models, especially value-based or outcomes-linked services
  • Revenue Analytics: Develop cost models, risk-adjusted projections, and utilization forecasts to support contract negotiation and commercial strategy
  • Payer-Specific Proposals: Generate tailored actuarial insights to enhance the competitiveness and credibility of our proposals.
  • Strategic Bids & Renewals: Model expected financial outcomes for complex RFPs and support negotiations with quantifiable impact forecasts.
  • Market Intelligence: Benchmark against industry norms and assist in identifying commercial opportunities based on claims trends and risk profiles.
  • Policy Monitoring: Actively monitor health insurance policies to ensure compliance with regulatory standards and alignment with company objectives
  • Data Analysis: Analyze large datasets to identify trends, patterns, and anomalies in claims and policy performance.
  • Pricing Models: Develop and refine pricing models to optimize profitability and competitiveness in the MEA region. (SFS)
  • Risk Assessment: Conduct comprehensive risk assessments to support underwriting decisions and policy development.
  • Reporting: Prepare detailed reports and presentations for senior management, highlighting key findings and recommendations.
  • Collaboration: Work closely with the underwriting, claims, and Business Development teams to ensure cohesive strategy implementation.
  • Regulatory Compliance: Stay updated with local and international regulatory requirements and ensure compliance in all actuarial activities.
  • Continuous Improvement: Identify opportunities for process improvements and implement changes to enhance efficiency.
  • Network Analysis: Conduct detailed analysis of provider networks to evaluate performance and identify areas for improvement, ensuring optimal network utilization.
  • Product Loss Ratio Analysis: Analyze loss ratios per product to identify trends and propose strategies to reduce loss ratios while maintaining competitive pricing.
  • Policy Utilization: Assess policy utilization rates and suggest actionable strategies to optimize policy offerings and improve customer satisfaction.
  • Payer Utilization Analysis: Evaluate payer utilization patterns to identify opportunities for cost savings and improved efficiency.
  • Country-wise Analysis: Perform country-specific analyses to understand regional variations in policy performance and utilization, providing tailored recommendations for each market.
  • Forecasting and Predictive Modeling: Develop forecasting models and predictive analytics to anticipate future trends and support strategic planning.
  • Stakeholder Engagement: Engage with internal and external stakeholders to gather insights and align actuarial strategies with business objectives.
  • Innovation and Strategy: Contribute to the development of innovative insurance products and strategies that meet the evolving needs of the market.
  • Develop and maintain actuarial models to evaluate the financial impact of changes in utilization patterns, claims frequencies, and health outcomes

 

Minimum requirements:

 

  • Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field. A master's degree or professional actuarial qualification (e.g., ASA, FSA) is preferred.
  • Minimum of 5 years of experience in actuarial analysis within the health insurance sector, preferably with exposure to TPA operations.
  • In-depth knowledge of health insurance products, pricing strategies, and regulatory requirements in the MEA region.
  • Advanced proficiency in actuarial software (e.g., Prophet, SAS, R, or similar)
  • Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skill
  • Strong analytical skills, with the ability to build complex models and perform detailed data analysis.
  • Excellent communication skills, with the ability to explain complex actuarial concepts to non-technical stakeholders.
  • Ability to work independently and as part of a cross-functional team.
  • Strong problem-solving skills and a proactive approach to addressing actuarial challenges.
  • Experience with health insurance products in multiple MEA regions and familiarity with local market dynamics.
  • Ability to adapt to a fast-paced, changing environment and manage multiple priorities effectively.
  • Strong project management skills and ability to handle multiple tasks simultaneously.
  • Experience with machine learning techniques and advanced statistical methods is a plus.
 
 

78031 | Sales & Distribution | Professional | PG11 | Allianz Partners | Full-Time | Permanent

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us. 
We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.
We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.
Join us. Let's care for tomorrow.