Senior Actuarial Analyst – Actuarial Finance, Value-Based Care

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

📋 Description

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

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

• Create, develop, and sustain actuarial and financial models that support trend predictions, forecasting, VBC performance tracking, and risk arrangement assessments.

• Convert intricate modeling outcomes and data analyses into executive-level summaries, financial commentary, and performance narratives.

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

• Lead or assist in creating data tools that categorize extensive datasets across financial, utilization, quality, and outcome aspects.

• Present findings to a diverse range of stakeholders, tailoring technical depth and context to meet audience requirements.

• Develop repeatable, automated analytical processes utilizing scripting, templated models, and AI-assisted tools where applicable.

• Identify opportunities for process enhancements through automation, standardization, or AI-assisted improvements while ensuring transparency, controls, and documentation.

• Establish credible performance narratives utilized in senior leadership decision-making.

• Decrease cycle time and manual effort for ongoing VBC performance analyses through process enhancement and automation.

• Carry out other job-related tasks as assigned.

⛳️ 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 related regulated sector.

• Proficient analytical and modeling skills using Excel or similar modeling tools.

• Strong data analysis capabilities using SQL, SAS, R, Python, or equivalent tools.

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

• Capability to distill quantitative findings into clear written and verbal explanations for non-technical audiences.

• Ability to operate independently in a fast-paced, evolving, and occasionally ambiguous environment.

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

• Excellent communication skills, including the confidence to highlight risks, limitations, and uncertainties.

• Demonstrated capability 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, interpretation, and judgment.

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

• Practical experience with AI-enabled tools for supporting analysis, interpretation, documentation, or narrative creation, 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.