Senior Analyst – Actuary
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Job Description
Actuarial Senior Analyst modeling MA, Medicaid, and Commercial payer contracts for Astrana Health. Building financial analytics, dashboards, and negotiation models.
Responsibilities:
- Own contract modeling across MA, Medicaid, and Commercial business
- Craft sophisticated deal models to support contract negotiations with health plans
- Use data and analytics to improve financial and operational performance of health plan contracts
- Track, analyze, forecast, and report on the financial impact of payer contracts
- Build analytical infrastructure, reports, and dashboards to monitor payer financial performance
- Research legislation, market share, Star Ratings, bid strategies, and reimbursement trends
- Conduct analyses related to benchmarking, contract optimization, investor relations, and risk adjustment
- Collaborate with Reserving, Analytics, Data, Finance, M&A, Contracting, Medical Economics, and Operations teams
- Report to the Senior Manager, Actuary
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
- Proficiency and desire to build actuarial models from scratch
- Comfortable working on a small team in a fast-paced environment
- Knowledge in health plan reimbursement methodologies (preferred)
- Experience working on the provider side of healthcare (preferred)
- Experience in Medicare Advantage bid mechanics (preferred)
- Risk adjustment experience (preferred)
- Experience in the California healthcare market (preferred)
- Understanding of the actuarial continuum, including pricing/forecasting and valuation/reserving (preferred)
Benefits:
- Option to be remotely based in the U.S.
- Hybrid work option through the Alhambra, CA, Las Vegas, NV, or Houston, TX offices
- Competitive Actuarial Student Program for candidates seeking ASA or FSA credentials
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