Note: The job is a remote job and is open to candidates in USA. Astrana Health is a physician-centric, technology-powered healthcare management company focused on value-based healthcare delivery. The Actuarial Senior Analyst will own contract modeling across Medicare Advantage, Medicaid, and Commercial businesses, track payer contract performance, and support payer negotiations. The role will also develop analytical infrastructure, conduct financial and market analyses, and collaborate with cross-functional teams.
Responsibilities
- 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
- 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
Skills
- 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
- 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)
Benefits
- This position has the option to be remotely based in the U.S.
- Candidates can choose to work in a hybrid fashion and work through the Alhambra, CA, Las Vegas, NV, or Houston, TX Astrana Health offices.
- Astrana Health offers a competitive Actuarial Student Program for any candidate seeking their ASA or FSA credentials.
Company Overview