Analyst, Actuarial

Wellvana • Nashville, TN

401d

About The Position

The Analyst, Actuarial position at Wellvana involves working closely with the actuarial, finance, and analytics teams to develop insights that support the company's vision and strategic direction in value-based care. The role focuses on analyzing medical and pharmacy expenses, conducting underwriting and actuarial forecasting, and performing population health management analyses. This position is crucial for identifying opportunities and risks to help the business meet its financial objectives, requiring collaboration with leadership and effective communication of findings.

Requirements

• Integrity: The right way is the only way.
• Dependability: You do what you say you're going to do.
• Advocacy: You fight for the best possible outcome for providers and their patients.
• Clarity: You make it all understandable.
• Successfully passed 3+ actuarial exams.
• Bachelor's degree.
• 3+ years of actuarial experience.
• 3+ years direct experience with healthcare data and analytics.
• Substantive knowledge of Medicare healthcare industry and trends; medical, pharmacy/Part D, SDoH, behavioral health experience especially valuable.
• Superior conceptual, analytical, financial modeling, and problem-solving skills.
• Ability to effectively communicate with various levels of staff.
• Strong interpersonal and relationship building skills to support collaboration at all levels of the organization.
• Excellent written, verbal, and presentation skills.

Nice To Haves

• ASA or FSA designation.
• Medicare Advantage Part C and D bid development expertise.
• Highly effective written, oral, and persuasive communication skills.
• Ability to develop, translate, and execute strategies or functional objectives for the business.

Responsibilities

• Execute on the strategy and manage actuarial accrual and trend analytic activities.
• Collect medical and pharmacy data and perform ad-hoc analyses.
• Develop a foundational understanding of Medicare Advantage, ACO REACH, MSSP, and other value-based care programs.
• Collaborate with team members to design and execute analytics that uncover critical business insights.
• Present findings clearly to leadership and peers to support decision-making.
• Measure and project savings for affordability initiatives and recommend new initiatives in collaboration with clinical leadership.
• Quantify the impact of policy reform and population shifts on existing products.
• Project medical expenses for forecasting and monitor variance to budget.
• Prepare documentation for actuarial liabilities in financial statements.
• Communicate results, findings, and recommendations to the organization.
• Demonstrate understanding of applicable laws and regulations, as well as actuarial standards of practice.
• Program and analyze key reports related to Actuarial initiatives.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree