Senior Analyst, Actuary

Senior Analyst, Actuary

Department : Actuarial Services

Employment Type : Full Time

Location : 1668 S. Garfield Ave. 2nd Floor, Alhambra, CA 91801

Reporting To : Matt McCarron

Compensation : $100,000 - $135,000 / year

Description

We are seeking an Actuarial Senior Analyst who thrives on independent thinking and enjoys building models and analyses from the ground up. This role offers the opportunity to leverage your healthcare and actuarial expertise to contribute to our leading position in the value-based care revolution.

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

Preferred Qualifications

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

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.

Additional Information

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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