Senior Actuarial Analyst – Actuarial Finance, Value-Based Care

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Assist Actuarial Finance in analyzing, forecasting, and recognizing VBC Membership, Revenue, and Medical Expenses.

• Evaluate trend drivers, utilization patterns, and emerging risks.

• Create, develop, and maintain actuarial and financial models that support trend projections, forecasting, VBC performance monitoring, and risk arrangement assessments.

• Convert complex modeling results and data analyses into outputs that are ready for decision-making, including executive summaries, financial commentary, and performance narratives.

• Collaborate with teams across actuarial, finance, clinical, and strategy sectors.

• Lead or assist in developing data tools that categorize extensive datasets across financial, utilization, quality, and outcomes dimensions.

• Present findings to stakeholders while tailoring the technical depth and context to suit the audience.

• Create repeatable, automated analytical workflows utilizing scripting, templated models, and AI-assisted tools.

• Enhance processes through automation, standardization, or AI-assisted enhancements while ensuring transparency, controls, and documentation.

• Build trusted performance narratives to aid senior leadership in decision-making.

• Minimize cycle time and manual effort for ongoing VBC performance analyses.

• Carry out additional job-related tasks as required.

⛳️ Requirements

• Bachelor's degree in actuarial science, Mathematics, Statistics, or a related quantitative discipline.

• Over 5 years of experience in an actuarial, analytical, or finance role within a collaborative environment.

• More than 5 years of experience in managed care, healthcare, or a similar regulated industry.

• Strong analytical and modeling capabilities using Excel or similar modeling tools.

• Proficient in data analysis using SQL, SAS, R, Python, or equivalent tools.

• Proven experience in automating recurring analytical tasks, models, or reporting activities.

• Ability to translate quantitative findings into concise written and verbal explanations for non-technical audiences.

• Capability to work independently in a fast-paced, evolving, and occasionally ambiguous environment.

• Strong professional judgment, intellectual curiosity, and a willingness to question results, assumptions, and outputs.

• Excellent communication skills, with the confidence to address risks, limitations, and uncertainties.

• Demonstrated ability to apply AI responsibly, with a focus on data quality, bias, reproducibility, and professional standards.

• Comfort in preparing executive-level summaries that clearly differentiate modeled results, interpretations, and judgments.

• Experience in supporting Value-Based Care, ACOs, MA, MSSP, or other risk-based reimbursement models is preferred.

• Practical experience in utilizing AI-enabled tools for analysis, interpretation, documentation, or narrative development, with appropriate validation and oversight is preferred.

• ASA or higher actuarial credential is preferred.

🏝️ Benefits

• Health, Dental, Vision, Disability & Life Insurance.

• 401K Retirement Plan (with company match).

• Tuition, Professional License, and Certification Reimbursement.

• Paid Time Off, Holidays, and Volunteer Time.

• Paid Orientation and Training.