Note: The job is a remote job and is open to candidates in USA. Astrana Health is a healthcare organization advancing value-based care. The Actuarial Senior Analyst will build deal models and analytical infrastructure, analyze the financial impact of payer contracts, monitor market trends, and provide data-driven support for contract negotiations and operational performance. The role collaborates with teams across actuarial, analytics, finance, contracting, medical economics, and operations.
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 role is open for remote work.
- 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.
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