Teams at Wilmington Health

Own actuarial and financial analysis for healthcare value-based care arrangements, including ACOs, Medicare, Medicaid, Medicare Advantage, and commercial risk contracts. Develop models for claims, utilization, cost trends, risk adjustment, benchmarks, shared savings and losses, forecasting, and scenario analysis. Evaluate provider and contract performance, identify cost opportunities, support reconciliation, and communicate findings to executive and cross-functional stakeholders. Maintain actuarial methodologies consistent with ASOPs and professional standards.