Senior Actuarial Analyst — Value-Based Payer Strategy

Bon Secours Mercy Health; Philippines; Hybrid; PHP 1,200,000 - 2,000,000; Full time

Benefits offered by this job

HMO coverage

Retirement plan

Life insurance

Work-from-home allowance

Connectivity allowance

Wellness allowance

Paid vacation

Sick leave

SSS/PhilHealth/Pag-IBIG benefits

Flexible working model

Culture and events

Learning and development

Office engagement

Job summary

Bon Secours Mercy Health Global Business Services - Manila is seeking a Senior Actuarial Analyst to deliver advanced financial and data analysis for value-based managed care contracting and payer strategy.

The role supports cross-functional collaboration across U.S. healthcare operations, with responsibilities spanning financial modeling, contract performance evaluation, reconciliation and data-driven insights for negotiation strategy and enterprise decision-making.

Qualifications

• 5+ years of experience in healthcare finance, payer analytics or related field.
• Experience supporting value-based contract development and performance tracking.
• Experience in financial forecasting, audit and predictive analytics.
• Proven ability to analyze large healthcare claims, reimbursement or performance datasets.
• Track record of delivering analytics that inform business decisions.

Responsibilities

• Analyze reimbursement structures and financial performance to support payer negotiations and strategy development.
• Design and evaluate value-based payment models including shared savings, risk arrangements and quality-based incentives.
• Develop financial models and pro forma analyses to assess contract changes and cost trends.
• Perform sensitivity and scenario analyses to estimate financial outcomes under various assumptions.
• Monitor contract and program performance to identify underpayments, compliance gaps and financial risks.
• Prepare monthly forecasts, performance reports and variance analyses for value-based programs.
• Conduct quarterly and annual reconciliation audits to validate payer compliance and contract performance.
• Investigate discrepancies and support dispute resolution related to payment variances.
• Build and enhance analytical tools to track healthcare trends and forecast performance.
• Translate data into actionable insights for payer negotiations and leadership decisions.
• Create executive-ready reports and data visualizations for clinical and financial stakeholders.
• Standardize and scale analytical processes across programs and contracts.
• Mentor analysts and provide technical guidance to improve output quality.
• Collaborate with cross-functional teams including finance, operations and clinical stakeholders.

Skills

Healthcare finance

Payer analytics

Financial modeling

Data visualization

SQL

Excel

Communication skills

Education

Bachelor's degree in Business Administration/Finance/Healthcare

Master's degree preferred

Tools

Power BI

Tableau

Job description

Bon Secours Mercy Health Global Business Services - Manila is seeking a Senior Actuarial Analyst to deliver advanced financial and data analysis for value-based managed care contracting and payer strategy.

The role supports cross-functional collaboration across U.S. healthcare operations, with responsibilities spanning financial modeling, contract performance evaluation, reconciliation and data-driven insights for negotiation strategy and enterprise decision-making.