Senior Actuary, Actuarial Analytics and Reporting

Cinqcare • Washington, WA

2d • Onsite

About The Position

The Senior Actuary, Actuarial Analytics and Reporting role is a high-impact analytical role responsible for supporting financial, actuarial, and strategic analytics across CINQCARE’s value-based care portfolio. This role partners closely with Finance, Healthcare Economics, Clinical, and Network teams to evaluate performance, manage risk, and advance CINQCARE’s analytics capabilities. This position reports to the Director, Actuarial Analytics and Reporting. The Senior Actuary role should embody CINQCARE's core values, including Trusted, Empathetic, Committed, Humble, Creative, and Community­ Minded.

Requirements

• Bachelor’s degree in Mathematics, Statistics, Actuarial Science or related field.
• Associate of Society of Actuaries (ASA) required.
• 5+ years of actuarial, financial, or healthcare analytics experience.
• Experience in health insurance, consulting, or value-based care environments strongly preferred.
• Medicare and/or Medicaid claims data and ACO models, including MSSP / REACH experience.
• Key actuarial functions such as IBNR, pricing, forecasting, and trend analysis experience.
• Familiarity with risk adjustment models (HCC/RAF), provider contracting, and value-based payment models.
• Superior Excel, data retrieval (SQL / SAS / Python), and PowerPoint skills.
• Strong analytical and problem-solving capabilities.
• Ability to translate complex financial and healthcare data into clear, actionable insights.
• Strong written and verbal communication skills.
• Ability to manage multiple priorities and operate effectively in a fast-paced environment.
• High attention to detail with strong business judgment and ownership.
• Excellent relationship management skills with a persuasive communication style.
• Self-motivated and results-driven, with an ability to thrive in a fast-paced, growth-oriented environment.

Nice To Haves

• Fellow of Society of Actuaries (FSA) preferred

Responsibilities

• Perform actuarial analyses across Medicare Advantage, Medicaid, and ACO (REACH, MSSP) populations, including pricing/underwriting, IBNR development, forecasting, and trend analysis.
• Support monthly close and financial reporting processes, including P&L development, variance analysis, and performance tracking against budget and forecast.
• Analyze financial and operational performance, identifying key drivers of variance across revenue, utilization, unit cost, risk adjustment, and quality.
• Develop pro forma analyses and multi-year projections for new and renewing business, incorporating assumptions related to membership, reimbursement, medical cost, and operational factors.
• Interpret and operationalize value-based contract terms, including capitation, shared savings/losses, and risk corridors, and support ongoing contract performance monitoring.
• Analyze large healthcare datasets, including claims, encounter, and enrollment data, as well as Medicare Advantage (MMR, MOR, MA004) and ACO (BCDA, CCLF) data sources.
• Apply knowledge of risk adjustment coding (HCC/RAF), and reimbursement structures (DRG, HCPCS/CPT, groupers) to financial and utilization analyses.
• Perform risk adjustment analytics, including RAF score monitoring and revenue impact analysis.
• Support clinical and network analytics, including provider performance, care model effectiveness, and affordability initiatives in partnership with Clinical and Network teams.
• Conduct ad hoc and enterprise analytics to support executive leadership, corporate strategy, and investor-related initiatives.
• Collaborate with Data and Technology teams to support development of predictive models and scalable analytics infrastructure.
• Continuously improve analytical processes, tools, and methodologies to enhance accuracy, efficiency, and scalability.
• Stay current on trends in value-based care, including Medicare Advantage, Medicaid, MSSP, ACO REACH, and evolving CMS models.

Benefits

• Medical Plans: Two comprehensive options offered to Team members.
• 401K: 4% employer match for your future.
• Dental & Vision: Flexible plans with in-network savings.
• Paid Time Off: Generous PTO, holidays, and wellness time.
• Extras: Pet insurance, commuter benefits, mileage reimbursement, CME for providers, and company-provided phones for field staff.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior