Senior Actuarial Analyst- ACO (Remote)

Overview

This role supports the financial performance of a growing portfolio of Value-Based Care arrangements, including health plan partnerships and ACO programs. You will take ownership of actuarial and financial analysis across these arrangements, partnering 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

• Own actuarial and financial analysis for Value-Based Care arrangements (including health plan partnerships and ACO programs)
• Collaborate with Finance, Clinical, and Analytics teams to analyze medical cost and utilization trends
• Identify underlying drivers of performance across Value-Based Care arrangements
• 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 across one or more areas such as:
  • medical cost/utilization
  • forecasting
  • reserving/IBNR
  • risk adjustment
  • total cost of care
  • VBC financial performance
• Strong SQL and Excel capabilities

Preferred Qualifications

• Experience with SAS, Python and/or R

Compensation & Benefits

• Not specified

Location

Fully remote across the US.