Sr. Analyst - Actuary
Astrana Health, Inc.•Alhambra, CA
•$100,000 - $135,000•Remote
About The Position
We are seeking an Actuarial Senior Analyst to help drive the financial analytics behind our payer contracts. This role will own contract modeling across our MA, Medicaid, and Commercial business. You'll build models from scratch, track contract performance, and support payer negotiations. This role will report to the Senior Manager, Actuary and is open for remote work.
Requirements
- FSA or ASA credentials or near attainment of ASA credentials.
- 3+ years of experience in actuarial roles.
- 1+ years of experience in VBC or VBC adjacent roles.
- Advanced knowledge of Microsoft Excel.
- Intermediate knowledge of SQL.
- Champion of independent critical thinking, unafraid to challenge the status quo and explore innovative solutions.
- Proficiency and desire to build actuarial models from scratch.
- Comfortable working on a small team in a fast-paced environment.
Nice To Haves
- Knowledge in health plan reimbursement methodologies.
- Experience working on the provider side of healthcare.
- Experience in Medicare Advantage bid mechanics.
- Risk adjustment experience.
- Experience in the California healthcare market.
- Understanding of the actuarial continuum (both pricing/forecasting and valuation/reserving).
Responsibilities
- Craft sophisticated deal models to support contract negotiations with health plans, ensuring favorable terms and optimal outcomes.
- Utilize data and analytics to provide consultative support, driving financial and operational performance improvements for our health plan contracts.
- Employ advanced data tools to track, analyze, forecast, and report on the financial impact of payer contracts.
- Build robust analytical infrastructure, including comprehensive reports and dashboards, to monitor payer financial performance.
- Stay ahead of industry developments researching topics such as changes in legislation, market share, Star Ratings, bid strategies, and reimbursement trends.
- Conduct a variety of analyses related to benchmarking, contract optimization, investor relations, risk adjustment, and more.
- Work closely with teams across Reserving, Analytics, Data, Finance, M&A, Contracting, Medical Economics, and Operations.
Benefits
- Competitive Actuarial Student Program for any candidate seeking their ASA or FSA credentials.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
