Senior Actuarial Analyst (Actuarial Finance / Value-Based Care)

Overview

The organization is seeking a Senior Actuarial Analyst to support the Actuarial Finance function. This role focuses on the accurate and timely recognition of Value-Based Care (VBC) Performance, understanding performance and trend drivers, and translating complex analytics into clear financial and operational insight.

The Senior Actuarial Analyst will partner with finance, clinical, and strategy stakeholders and help build scalable analytical and interpretive workflows, including automation of recurring analyses, forecasting processes, and performance narratives to support senior leadership decision-making.

Responsibilities

• Support Actuarial Finance in the analysis, forecasting, and recognition of VBC Membership, Revenue, and Medical Expense, including assessment of trend drivers, utilization dynamics, and emerging risks
• Design, build, and maintain actuarial and financial models supporting trend projections, forecasting, VBC performance tracking, and risk arrangement evaluation
• Translate complex modeling results and data analyses into decision-ready outputs, including executive-level summaries, financial commentary, and performance narratives
• Collaborate with actuarial, finance, clinical, and strategy teams to ensure analytical findings align with business context and operational realities
• Lead or contribute to the development of data tools that stratify large datasets across financial, utilization, quality, and outcomes dimensions
• Communicate findings clearly and succinctly to a range of stakeholders, adjusting technical depth and framing based on audience needs
• Develop repeatable, automated analytical workflows using scripting, templated models, and AI-assisted tools where appropriate to improve accuracy, timeliness, and scalability
• Identify opportunities to improve existing processes through automation, standardization, or AI-assisted augmentation, while maintaining transparency, controls, and appropriate documentation
• Establish trusted performance narratives used in senior leadership decision-making
• Reduce cycle time and manual effort for recurring VBC performance analyses through process improvement and automation
• Perform other job-related assignments as requested

Requirements

• Bachelor’s degree in actuarial science, Mathematics, Statistics, or a related quantitative field
• 5+ years of experience in an actuarial, analytical, or finance role within a team-based environment
• 5+ years of experience in managed care, healthcare, or a related regulated industry
• Strong analytical and modeling skills using Excel or comparable modeling tools
• Strong data analysis skills using SQL, SAS, R, Python or comparable tools
• Demonstrated experience automating recurring analytical work, models, or reporting processes
• Ability to synthesize quantitative results into clear written and verbal explanations for non-technical audiences
• Ability to work independently in a dynamic, evolving, and sometimes ambiguous environment
• Sound professional judgment, intellectual curiosity, and comfort questioning results, assumptions, and outputs
• Strong communication skills, including confidence to surface risks, limitations, and uncertainties
• Demonstrated ability to apply AI responsibly, with attention to data quality, bias, reproducibility, and professional standards
• Comfort preparing executive-level summaries that clearly distinguish modeled results, interpretation, and judgment
• Experience supporting Value Based Care, ACOs, MA, MSSP, or other risk-based reimbursement models preferred
• Practical experience using AI-enabled tools to support analysis, interpretation, documentation, or narrative development, with appropriate validation and oversight preferred

Preferred Qualifications

• ASA or higher actuarial credential

Compensation & Benefits

• Posted Min Pay Rate: USD $110,000.00/Yr.
• Posted Max Pay Rate: USD $140,000.00/Yr.
• Health, Dental, Vision, Disability & Life Insurance, and much more
• 401K Retirement Plan (with company match)
• Tuition, Professional License and Certification Reimbursement
• Paid Time Off, Holidays and Volunteer Time
• Paid Orientation and Training
• Pay transparency: Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.

Location

Headquartered out of Troy, Michigan. Home-based primary care practices operate in 14 states.