
Senior Analyst – Actuary
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in California, +2 more states.
• Develop and manage actuarial models for forecasting, reserving, shared savings calculations, provider performance evaluation, innovative clinical solutions assessment, and optimization of ACO performance.
• Lead actuarial assessments on ACO goals, quantifying benchmarks and savings impacts to bolster corporate development strategies.
• Create analytics to identify and assess new provider groups.
• Oversee financial tracking and reporting for the company's ACO initiatives, including partial responsibility for a significant line of business's P&L at a public company.
• Cultivate a comprehensive understanding of ACO REACH, MSSP, and LEAD programs.
• Evaluate new and proposed CMS regulations, formulate organizational strategies, and assist in developing policy positions.
• Maintain, enhance, and produce ad hoc ACO audit documentation to support a public company and ensure SOX compliance.
• Collaborate with ACO, Analytics, Data, Finance, M&A, Contracting, Medical Economics, and Operations teams.
• Convert actuarial mechanics into actionable organizational strategies.
• Assist with a variety of actuarial projects and requests as they emerge.
• Report to the Senior Manager, Actuary.
• FSA or ASA credentials or nearing attainment of ASA credentials.
• A minimum of 4 years of experience in actuarial roles.
• At least 1 year of experience in value-based care (VBC) or related roles.
• Advanced proficiency in Microsoft Excel.
• Intermediate skills in SQL.
• Capability and enthusiasm to construct actuarial models from the ground up.
• Comfort in a small team within a fast-paced environment.
• Advocate for independent critical thinking, willing to challenge the norm and explore innovative solutions.
• Preferred understanding of the actuarial continuum (both pricing/forecasting and valuation/reserving).
• Experience with ACOs is preferred.
• Experience in producing public financial reports is preferred.
• Experience on the provider side of healthcare is preferred.
• Familiarity with Databricks and/or Power BI is preferred.
• Option to work remotely within the U.S.
• Hybrid work option available through Astrana Health offices located in Alhambra, CA, Las Vegas, NV, or Houston, TX.
• Competitive Actuarial Student Program for candidates pursuing ASA or FSA credentials.
Blake Willson Group, LLC
Blue Cross NC
The Standard
Humana
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