Actuarial Analyst

Overview

This role evaluates financial performance, identifies business risks, and supports strategic decision-making within value-based care arrangements. Focus areas include Medicare Advantage, Medicaid, and Individual ACA populations. Responsibilities include actuarial analysis related to contract performance, forecasting, reserving, and financial reporting.

Responsibilities

• Apply fundamental actuarial principles to analyze healthcare claims data
• Review value-based contracts to ensure financial performance modeling accounts for contract requirements with payers and providers
• Develop, maintain, and analyze models for IBNR and financial performance projections
• Reconcile actuarial inputs and outputs to ensure data accuracy, consistency, and reliability
• Coordinate with internal and external actuaries and assist with data reconciliations
• Collaborate and communicate with internal stakeholders across the organization
• Perform financial analyses to identify trends, risks, opportunities, and key drivers impacting contract performance
• Validate and reconcile data from multiple internal and external sources to support actuarial analyses and reporting
• Partner with cross-functional teams to translate complex analytical results into actionable business recommendations

Requirements

• Bachelor’s degree required
• Minimum of one (1) year of experience in actuarial analysis, healthcare analytics, financial analysis, or a related field preferred
• Successful completion of at least one Society of Actuaries exam and commitment to working toward ASA designation
• Knowledge of database concepts, analysis development, and decision tools
• Proficient in SQL/R/Python
• Verbal and written communication skills, with the ability to convey complex information across different teams within the organization
• Critical thinker and self-starter
• Comfortable working in a fast-paced and dynamic team environment
• Proficiency in Microsoft Excel and other Microsoft Office tools such as Word and PowerPoint
• Experience with Databricks, PowerBI, or similar tools is preferred
• Actuarial or healthcare-related internship or experience and prior Medicare Advantage, Value-Based Care, or Medical Economics experience is preferred

Compensation & Benefits

• Base salary range: $88,880 to $115,544
• Final compensation will be determined based on geographic location and job-related factors such as experience, skills, education, certifications, and internal compensation considerations
• Most offers will typically fall within a narrower band based on these factors

Benefits

• Comprehensive benefits: medical, dental, and vision insurance; employee assistance program; employer-paid and voluntary life insurance; disability insurance; plus health and flexible spending accounts
• Financial & retirement support: competitive compensation; 401k with employer match; financial wellness resources
• Time off & leave: 20 PTO days, 7 paid holidays, and 1 floating day to make your own; paid parental leave
• Wellness & growth: work life assistance resources; physical wellness perks; mental health support; employee referral program; BenefitHub for employee discounts

Location

Not specified in the provided job description.