Actuarial Analyst: Value-Based Care Analytics

CINQCARE

Washington (District of Columbia)

Hybrid

USD 70,000 - 95,000

Full time

5 days ago
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Benefits offered by this job

Healthcare benefits
Comprehensive benefits package

Job summary

CINQCARE is seeking an Actuarial Analyst to support financial, actuarial, and strategic analytics across our value-based care portfolio in Washington, DC. You will partner with Finance, Healthcare Economics, Clinical, and Network teams to evaluate performance and build analytics capabilities.

The role reports to the Director of Actuarial Analytics and Reporting. We value integrity, collaboration, and continuous learning as we advance care in diverse communities.

Qualifications

  • Bachelor’s degree in a STEM field.
  • 1–2 years of actuarial, healthcare analytics, or related experience; internships welcome.
  • Actively pursuing actuarial exams toward ASA credential.
  • Exposure to IBNR, pricing, forecasting, or trend analysis a plus.
  • Strong Excel skills; familiarity with SQL, SAS, or Python a plus.

Responsibilities

  • Assist actuarial analyses across Medicare Advantage, Medicaid, and MSSP populations, including pricing/underwriting, IBNR development, forecasting, and trend analysis.
  • Support monthly close and financial reporting, including data prep for IBNR and P&L development.
  • Analyze financial and operational performance data to identify drivers of variance in revenue, utilization, unit cost, risk adjustment, and quality.
  • Develop pro forma analyses and projections for new and renewing business under senior guidance.
  • Support annual budget development and forecasting processes.
  • Interpret value-based contract terms and monitor contract performance.
  • Work with large datasets, including claims, encounters, and enrollment data, and Medicare Advantage and ACO data sources.
  • Support risk adjustment analytics, including RAF score monitoring and revenue impact reporting.
  • Collaborate with Clinical and Network teams on analytics and provider performance reporting.
  • Assist with ad hoc analytics requests and contribute to process improvements.
  • Stay current on trends in value-based care models.

Skills

Excel
SQL
SAS
Python
Analytical thinking
Communication

Education

Bachelor’s degree in a STEM field

Tools

SQL
SAS
Python

Job description

CINQCARE is seeking an Actuarial Analyst to support financial, actuarial, and strategic analytics across our value-based care portfolio in Washington, DC. You will partner with Finance, Healthcare Economics, Clinical, and Network teams to evaluate performance and build analytics capabilities.

The role reports to the Director of Actuarial Analytics and Reporting. We value integrity, collaboration, and continuous learning as we advance care in diverse communities.

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