Senior Actuarial Analyst- ACO (Remote)

Overview

This role supports a fast-growing healthcare organization expanding its actuarial capabilities, bringing additional Value-Based Care analytics and financial performance work in-house. The team is responsible for the financial performance of a growing portfolio of Value-Based Care arrangements, including health plan partnerships and ACO programs.

This position provides ownership of actuarial and financial analysis across these arrangements, collaborating with Finance, Clinical, and Analytics teams to understand medical cost and utilization trends, identify performance drivers, and translate complex healthcare data into actionable financial insights.

Responsibilities

• Take ownership of actuarial and financial analysis for Value-Based Care arrangements (including health plan partnerships and ACO programs)
• Partner with Finance, Clinical, and Analytics teams to understand medical cost and utilization trends
• Identify underlying drivers of performance within Value-Based Care programs
• Translate complex healthcare data into meaningful financial insights

Requirements

• ASA credentials with 4+ years of healthcare actuarial experience
• Strong experience working with healthcare claims and membership/eligibility data
• Experience across Value-Based Care, ACOs, Medicare Advantage and/or health plan actuarial reporting
• Expertise in one or more of the following areas:
  • 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 also beneficial

Preferred Qualifications

• Experience working within a developing actuarial function with broad exposure to VBC financial performance
• Experience working closely with senior leadership

Compensation & Benefits

• Not specified in the provided description

Location

• Fully remote across the US