Senior Actuarial Analyst

$90,000 - $105,000/Yr

Concertocare

Full-time - Mid Level

Remote

About the position

The Senior Actuarial Analyst position at ConcertoCare is a critical role within the finance team, focusing on building, maintaining, and automating actuarial models to support pricing, forecasting, and performance measurement of value-based care contracts. The role requires a candidate who can effectively work with complex data and provide insights to inform market and clinical leaders, contributing to the company's expansion efforts across the country.

Responsibilities

• Perform the monthly reserve-setting process applying both modeling and judgment.
• Quantify and highlight drivers of variance to the financial plan by line of business.
• Track risk-adjustment and revenue projections.
• Support business development discussions with recommendations on risk-sharing arrangements using analytics.
• Model various pricing structures and financial guardrails for each line of business.
• Improve, build, maintain, and document new financial forecasting and pricing models.
• Collaborate with IT to create reporting in analytic tools like Power BI.
• Perform analytics and reporting on existing and new programs.
• Conduct studies on the value of clinical interventions and programs.
• Enhance predictive analytics and clinical algorithms to optimize outcomes.

Requirements

• Bachelor's degree in actuarial studies, statistics, or related field preferred.
• Associate of the Society of Actuaries (ASA) preferred, with 2+ exams required.
• 2-5 years of experience in the healthcare actuarial field, particularly in health insurance product design, reserving/forecasting, and Medicare bid pricing.
• Value-based contracting modeling experience strongly preferred.
• Actuarial consulting experience preferred but not required.
• Experience in Government healthcare contracts (Medicare and Medicaid) preferred.
• Proficient in Excel, Microsoft Office, SQL, SAS, or other coding languages.

Nice-to-haves

• Experience in actuarial consulting.
• Strong understanding of health insurance product design, ideally Medicare and Medicaid.

Benefits

• Full healthcare coverage
• 401K with match
• Annual bonus
• Broad range of health, wellness, and financial benefits