Associate Actuary

About the role

Conduct analysis, pricing and risk assessment to estimate financial outcomes. Manage health plan specific actuarial needs and produce actuarial reports to aid in developing corporate strategy.

This critical role plays a key part in advancing Value-Based Care (VBC) strategies that drive significant financial value across the enterprise. Gain broad exposure to vendor contracting, financial performance evaluation, and strategic decision-making while collaborating with stakeholders across all lines of business on diverse, high-impact initiatives.

Responsibilities

• Serve as the main point of contact for all actuarial related activities for an assigned contract
• Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
• Developing probability tables based on analysis of statistical data and other pertinent information
• Research and analyze the impact from legislative changes
• Analyze and evaluate required vendor and provider deals
• Analyze various data reports, identify trends and gaps and recommend action
• Determine the equitable basis for distributing with providers and vendors
• Create and update actuarial reports
• Participate in merger and acquisition analysis
• Support the development and maintenance of financial models for Value-Based Care (VBC) contracts (e.g., assisting with shared savings/risk and capitation analyses in Excel)
• Analyzing claims, vendor performance, and other healthcare datasets using tools such as SQL, SAS, or Python to help establish baselines, track performance, and identify trends
• Assisting with the preparation of financial analyses and materials used in discussions with external vendors and internal stakeholders
• Collaborating with cross-functional teams, including Medical Economics, Enterprise Partnerships, Network, and Clinical teams, to gather data, validate assumptions, and support ongoing initiatives
• Identifying data discrepancies, reporting issues, and analytical findings, and escalating concerns or recommendations to more senior team members as appropriate

Requirements

• Bachelor's degree in related field or equivalent experience
• 2+ years of actuarial experience
• Associate of the Society of Actuaries (ASA) (or equivalent international certification)
• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future (sponsorship not available for H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT)

Preferred Skills

• Experience in healthcare
• Experience in Excel, SAS, SQL, Snowflake and/or Teradata
• Vendor/Provider Experience

Pay

$87,700.00 – $157,800.00 per year, adjusted based on skills, experience, education, and other job-related factors. Total compensation may also include additional forms of incentives.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field or office work schedules