Senior Analyst, Actuary

Description

What You'll Do

• 
  Strategic Deal Modeling: Craft sophisticated deal models to support contract negotiations with health

plans, ensuring favorable terms and optimal outcomes.

• Data-Driven Insights: Utilize data and analytics to provide consultative support, driving financial and operational performance improvements for our health plan contracts.

• Financial Impact Analysis: Employ advanced data tools to track, analyze, forecast, and report on the financial impact of payer contracts.

• Infrastructure Development: Build robust analytical infrastructure, including comprehensive reports and dashboards, to monitor payer financial performance.

• Reserving: Develop and maintain actuarial models to estimate liabilities for Incurred but Not Paid (IBNP) claims across all lines of business (Medicare, Medicaid, and Commercial).

• Market Trend Monitoring: Stay ahead of industry developments researching topics such as changes in legislation, market share, Star Ratings, bid strategies, and reimbursement trends.

• Ad Hoc Analysis: Conduct a variety of analyses related to benchmarking, contract optimization, investor relations, risk adjustment, and more.

• Cross-Functional Collaboration: Work closely with teams across Reserving, Analytics, Data, Finance, M&A, Contracting, Medical Economics, and Operations.

• Cost Trend Evaluation: Analyze healthcare utilization patterns and cost trends to identify areas for improvement and opportunities for cost savings.

Qualifications

• 
  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.
• Understanding of the actuarial continuum (both pricing/forecasting and valuation/reserving).
• Proficiency and desire to build actuarial models from scratch.
• Comfortable working on a small team in a fast-paced environment.

Preferred Qualifications:

• Knowledge in health plan reimbursement methodologies.
• Experience working on the provider side of healthcare.
• Experience in Medicare Advantage bid mechanics.
• Risk adjustment experience.
• Knowledge working with PowerBI.
• Experience in the California healthcare market.
• Champion of independent critical thinking, unafraid to challenge the status quo and explore innovative solutions.

Team Environmental Job Requirements and Working Conditions

• 
  This position has the option to be remotely based in the U.S. Conversely, candidates can choose to work in a hybrid fashion and work through the Alhambra, CA, Las Vegas, NV, or Houston, TX Astrana Health offices.

• The hiring manager for this role sits in the Eastern Time Zone, while many of the business partners work on Pacific Time.

• The total compensation target pay range for this role is: $100,000 – $135,000. The salary range represents our national target range for this role.

• Astrana Health offers a competitive Actuarial Student Program for any candidate seeking their ASA or FSA credentials.

Astrana is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.

About Astrana Health, Inc.