Sr. Analyst - Actuary

Description

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team

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.
• 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.

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.
• 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).

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. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
• Astrana Health offers a competitive Actuarial Student Program for any candidate seeking their ASA or FSA credentials.