Senior Analyst, Actuary

2 days ago


Remote, Oregon, United States Astrana Health Full time $100,000 - $135,000 per 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
  • 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.
  • Understanding of the actuarial continuum (both pricing/forecasting and valuation/reserving).
  • Proficiency and desire to build actuarial models from scratch.
  • Comfortable working on a small team in a fast-paced environment.

Preferred Qualifications:

  • Knowledge in health plan reimbursement methodologies.
  • Experience working on the provider side of healthcare.
  • 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
  • This position has the option to be remotely based in the U.S. Conversely, candidates can choose to work in a hybrid fashion and work through the Alhambra, CA, Las Vegas, NV, or Houston, TX Astrana Health offices.

  • The hiring manager for this role sits in the Eastern Time Zone, while many of the business partners work on Pacific Time.

  • The total compensation target pay range for this role is: $100,000 – $135,000. The salary range represents our national target range for this role.

  • Astrana Health offers a competitive Actuarial Student Program for any candidate seeking their ASA or FSA credentials.

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 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.

About Astrana Health, Inc.

Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

Our platform currently empowers over 20,000 physicians to provide care for over 1.7 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.


  • Actuarial Analyst

    4 days ago


    Remote, Oregon, United States agilon health Full time $87,000 - $106,600 per year

    Company:AHI agilon health, inc.Job Posting Location:Remote - USAJob Title:Actuarial AnalystJob Description:The Actuarial Analyst will work under the guidance of an Actuarial Regional Manager to maintain and enhance medical margin models for assigned markets. These models support monthly financial close processes, budget development, and quarterly...

  • Specialty Actuary

    3 days ago


    Remote, Oregon, United States ICW Group Full time $139,874 - $250,377

    Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our  journey as we strive to transform the insurance  carrier space. We're proud to be in business...

  • Specialty Actuary

    1 day ago


    Remote, Oregon, United States ICW Group Full time $139,000 - $250,377 per year

    Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our  journey as we strive to transform the insurance  carrier space. We're proud to be in business...


  • Remote, Oregon, United States ICW Group Full time $139,000 - $250,377 per year

    Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for...


  • Remote, Oregon, United States Allstate Full time $78,600 - $142,275

    At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing...


  • Remote, Oregon, United States Humana Full time $138,900 - $191,000 per year

    Become a part of our caring community and help us put health firstThe Talent Management Principal develops, implements, and evaluates employee development plans and programs to support organizational needs in a combination of disciplines such as management development, talent management, succession planning, technical or nontechnical training, or e-learning....


  • Remote, Oregon, United States Bolton Full time $92,000 - $111,066 per year

    Government Sector Senior ConsultantGovernment Sector Senior Consultant, Compensation/Total RewardsLocation: United StatesBolton is a full-service employee benefits, actuarial, investment and compensation consulting firm headquartered in Baltimore, Maryland with eight offices across the U.S., Bolton has a 40-year history consulting to clients in the Public...

  • Senior Analyst

    4 days ago


    Remote, Oregon, United States Leading Edge Skills Full time $42,000 per year

    Leading Edge Skills (LES) is a focused IT and Business training center, based in California, right in the heart of Silicon Valley, that prepares students in transitioning and launching a new career quickly. We feel pride in offering a unique learning experience through training programs that are aligned with the industry requirements and are affordable....


  • Remote, Oregon, United States Changeis, Inc. Full time $80,000 - $120,000 per year

    Senior Business AnalystLocation: Remote We are actively recruiting for a Senior Business Analyst for a contract to modernize a large application. The successful candidate possesses and applies expertise on multiple complex work assignments, as well as plans and completes major technology assignments. Assignments may be broad in nature, requiring originality...


  • Remote, Oregon, United States Applied Underwriters Full time $120,000 - $150,000 per year

    Embark on a rewarding career journey at Applied Underwriters, where employees have been at the heart of our success story for more than 30 years. Headquartered in Omaha, NE, our company thrives on innovation and empowers our employees to shape the future of global risk services. Join a team where your ideas are valued and your talents are nurtured with...