Actuarial Analyst

Bon Secours Mercy Health; Philippines; On-site; PHP 800,000 - 1,200,000; Full time

Benefits offered by this job

Comprehensive HMO medical coverage

Work From Home allowance

Paid vacation and sick leave

SSS, PhilHealth and Pag-IBIG

Flexible working model

Learning and development programs

Job summary

Bon Secours Mercy Health in Manila is seeking an Actuarial Analyst to deliver financial analysis, contract performance insights and modeling support for value-based payment arrangements. You will help negotiate payer terms, forecast contract performance and validate reimbursement outcomes.

Working within a Global Business Services environment, you will collaborate with U.S. teams to drive operational excellence and insightful decision-making across managed care functions.

Qualifications

• 3 years of experience in managed care analytics or healthcare finance.
• Experience supporting value-based contract development including performance measurement.
• Experience in forecasting, variance analysis and reimbursement modeling.
• Experience developing Tableau reports.
• Knowledge of healthcare data privacy and compliance standards.

Responsibilities

• Analyze reimbursement, financial impact and performance data to support contract negotiations.
• Support design and evaluation of value-based payment models.
• Provide real-time analytical insights during payer negotiations.
• Monitor contract performance and identify financial risks and underpayments.
• Develop monthly financial forecasts and variance analyses.
• Conduct reconciliation audits to validate contract terms.
• Synthesize payer data and market trends for negotiation strategies.
• Produce reports to support budgeting and opportunity identification.
• Collaborate with cross-functional teams to interpret policies.
• Build dashboards and communicate insights clearly.

Skills

Financial modeling

Forecasting

Variance analysis

SQL

Data visualization

Education

Bachelor’s degree in IS/Business/Finance/Accounting/Healthcare Admin/Economics/Analytics

Master’s degree in MBA/Healthcare Admin/Public Health/Finance or related

Tools

Tableau

Power BI

Job description

Who we are
At Bon Secours Mercy Health Global Business Services – Manila, we believe your best is yet to come. Based in the Philippines, we partner with U.S.-based teams to deliver strategic insights, operational excellence and specialized expertise that advance our Mission. Join a global team focused on meaningful healthcare impact.

Job Summary
The Actuarial Analyst is responsible for delivering financial analysis, contract performance insights and modeling support for value-based payment arrangements. This role drives data-informed decision making by supporting payer negotiations, forecasting contract performance and validating reimbursement outcomes.

Operating within a Global Business Services environment, this role supports cross-functional collaboration, operational excellence and service delivery outcomes across U.S. healthcare managed care functions.

What you'll do

• Analyze reimbursement, financial impact and performance data to support managed care contract negotiations and payer strategy

• Support the design and evaluation of value-based payment models including shared savings, quality metrics and risk corridors

• Provide real-time analytical insights and recommendations during payer negotiations and escalation discussions

• Monitor contract performance and identify underpayments, compliance gaps, negative payment trends and financial risks

• Develop monthly financial forecasts and reporting packages including reconciliation summaries and variance analysis

• Conduct quarterly and annual reconciliation audits to validate payer compliance with contract terms

• Synthesize payer data, market trends and industry insights to support negotiation strategies and enterprise decisions

• Produce recurring performance reports on value-based programs to support budgeting, tracking and opportunity identification

• Perform ad hoc analyses to support initiatives, process improvements and scenario planning for new contract terms

• Collaborate with managed care, finance, legal and operational teams to interpret payer policies and contract requirements

• Build and maintain dashboards and reports using data visualization tools to communicate insights clearly

What you bring

Experience

• 3 years of experience in managed care analytics, healthcare finance, payer analytics, medical economics or healthcare consulting required

• Experience supporting value-based contract development including performance measurement, attribution metrics and reconciliation processes required

• Experience in forecasting, variance analysis and reimbursement modeling required

• Experience developing Tableau reports required

• Experience working with cross-functional stakeholders in managed care, finance and compliance preferred

Education

• Bachelor’s degree in Information Systems, Business Administration, Finance, Accounting, Healthcare Administration, Economics, Analytics or a related field required

• Master’s degree in Business Administration, Healthcare Administration, Public Health, Finance or related field preferred

Certifications

• Certified Healthcare Financial Professional (CHFP) – Healthcare Financial Management Association preferred

• Certified Professional in Healthcare Quality (CPHQ) – National Association for Healthcare Quality preferred

Skills and Knowledge

• Knowledge of managed care contract structures and value-based payment models required

• Advanced financial modeling, forecasting and variance analysis skills using Microsoft Excel required

• Strong SQL skills with experience analyzing large healthcare datasets required

• Knowledge of reimbursement methodologies and contract interpretation required

• Experience developing reconciliation methodologies and validating payment settlements preferred

• Familiarity with data visualization tools such as Power BI or Tableau required

• Strong analytical, communication and problem-solving skills required

• Ability to translate complex data into actionable insights for non-technical stakeholders required

• High attention to detail and ability to manage multiple priorities independently required

• Knowledge of data privacy and compliance standards in healthcare required

What we offer

• Comprehensive HMO medical coverage, retirement plan and group life and accident insurance

• One-time Work From Home allowance, connectivity allowance and wellness allowance

• Paid vacation and sick leave

• Government-mandated benefits: SSS, PhilHealth and Pag-IBIG contributions

• Flexible working model based on role and business need

• Mission-driven culture events, outreach and service opportunities

• Learning and development programs, mentorship and career growth pathways

• Collaborative office spaces and engagement activities

Benefits may vary based on employment terms and role.