Senior Actuary Analyst

TL;DR

Senior Actuary Analyst (Healthcare): Develop forecasting, budgeting, and analytics tools to measure financial and clinical value in value-based care arrangements with an accent on Medicaid reimbursement, healthcare claims data, and profitability analysis. Focus on building cost/revenue models, reporting utilization trends and savings, and evaluating business opportunities.

Location: United States (Remote)

Salary: $90,000 - $110,000

Company

Tech-enabled, pediatrician-led medical group delivering virtual and in-home care for children with special health care needs.

What you will do

• Develop tools to measure performance of value-based/shared-savings arrangements and communicate insights to stakeholders.
• Build and execute cost/revenue forecasting models using Medicaid reimbursement and claims data.
• Partner with Healthcare Economics to report revenue/risk trends, utilization, IBNR, and financial savings.
• Analyze profitability by duration, acuity, and resources to inform strategic recommendations.
• Monitor performance against forecasts, explain variances in revenue, cost, and membership.
• Collaborate with Business Development to evaluate new opportunities.

Requirements

• Associate or working towards Associate of the Society of Actuaries with 3+ completed exams.
• Bachelor’s degree.
• 2-4 years of actuarial experience in healthcare, managed care, or consulting.
• SQL and/or SAS skills.
• Strong communication, organizational, problem-solving, business acumen, and interpersonal skills.
• Ability to work independently and collaboratively in a dynamic environment.

Nice to have

• Medicaid experience.
• Experience with value-based reimbursement strategies and affordability initiatives.

Culture & Benefits

• Competitive medical, dental, vision insurance; Healthcare/Dependent Care FSA; company-funded HSA.
• 401(k) with 4% match, vested immediately; employer-paid short/long-term disability and life insurance.
• 20 days PTO + 10 company holidays + 2 floating holidays; paid new parent leave.
• Annual bonus incentive and employee equity purchase program eligibility.
• Guided by core values: Children First, Earn Trust, Innovate Today, Embrace Humanity, One Team Diverse Perspectives.