Sr Actuarial Analyst

Responsibilities

• Design and perform actuarial studies and reports related to medical costs, risk scores, revenue, and membership, develop strong visuals and key insights to support deliverables to executive leadership
• Analyze results to identify early signs of adverse trends or other issues related to medical care costs and premium based revenue
• Work in collaboration with IT to optimize data ingestion and reconciliation to ensure data accuracy
• Inform the financial forecast with actuarially-sound studies to enhance accuracy
• Analytic support to explain variation from forecasted outcomes and collaborate with adjacent teams to recommend changes to optimize results
• Contributing strong recommendations on how to best measure program impacts with use of historic and predictive analytics.
• Support Finance in business development discussions, contributing strong recommendations on how to best structure risk-sharing arrangements through a combination of historic and predictive analytics.
• Work with IT partners to create reporting in analytic tools such as Power BI. Understand both technical and business need to create stellar reporting that answers important business questions.
• Perform analytics and reporting on existing and new programs.
• Conduct studies on the value of existing and potential interventions and clinical programs – both to optimize our clinical models, as well as for use in marketing materials.
• Enhance predictive analytics and proprietary clinical algorithms to optimize outcomes.

Qualifications

• Bachelor’s degree in actuarial studies, statistics, or related field preferred.
• Progress towards Associate of the Society of Actuaries (ASA).
• 2-5 years of experience in the healthcare actuarial field with a strong understanding of health insurance product design (ideally Medicare and Medicaid), reserving/forecasting, Medicare bid pricing.
• Value-based contracting modelling experience strongly preferred.
• Experience in Government health care contracts preferred (Medicare and Medicaid).
• Proficient in Excel, Databricks, SQL, SAS or other coding language.
• AI experience: extra consideration given to candidates who have demonstrated effective use of AI tools.

Pay

Base Salary/Wage Range: $90,000 to $110,000 plus annual bonus. Compensation for the role is commensurate with the candidate’s qualifications, skills, competencies, and experience and may fall outside of the range shown. ConcertoCare offers a competitive total rewards package, which includes full healthcare coverage, a 401K with match, and a broad range of other health, wellness, and financial benefits.