Senior Actuarial Analyst- ACO (Remote)

Overview

This role supports a fast-growing healthcare organization expanding its actuarial capabilities, including Value-Based Care analytics and financial performance work handled in-house.

You will take ownership of actuarial and financial analysis across a growing portfolio of Value-Based Care arrangements, such as health plan partnerships and ACO programs. Work closely with Finance, Clinical, and Analytics teams to understand medical cost and utilization trends, identify drivers of performance, and translate complex healthcare data into meaningful financial insights.

Responsibilities

• Lead actuarial and financial analysis across Value-Based Care arrangements (including health plan partnerships and ACO programs)
• Analyze medical cost and utilization trends and identify underlying performance drivers
• Translate complex healthcare data into financial insights for stakeholders
• Partner with Finance, Clinical, and Analytics teams to support financial performance objectives

Requirements

• ASA credentials
• 4+ years of healthcare actuarial experience
• Strong experience working with healthcare claims data and membership/eligibility data
• Experience across Value-Based Care, ACOs, Medicare Advantage and/or health plan actuarial reporting
• Expertise in one or more areas such as:
  • Medical cost/utilization
  • Forecasting
  • Reserving/IBNR
  • Risk adjustment
  • Total cost of care
  • Value-Based Care (VBC) financial performance
• Strong SQL and Excel capabilities; SAS, Python and/or R experience is also beneficial

Preferred Qualifications

• Experience spanning provider-side risk and VBC financial performance
• Demonstrated ability to work directly with senior leadership and influence financial insights

Compensation & Benefits

• Not specified

Location

• Fully remote across the US