Manager, Value-Based Care Actuarial Analytics

Selby Jennings; United States; Remote; USD 180,000 - 240,000; Full time

Job summary

Selby Jennings seeks a credentialed actuary to spearhead financial analysis and strategy for provider reimbursement and value-based care initiatives at a major health plan. This fully remote leadership opportunity blends actuarial analytics, healthcare economics, provider contracting, and strategic decision‑making.

The candidate will lead a small team, present to senior leadership, and help drive healthcare affordability and operational effectiveness through rigorous forecasting and performance

Qualifications

• 7+ years of health actuarial experience.
• Experience leading provider reimbursement or value-based care programs.
• Experience analyzing provider contracts and medical cost performance.
• Prior people management or team mentorship experience.
• Strong understanding of healthcare economics and health insurance financial performance.
• Experience presenting complex analyses to senior leadership.

Responsibilities

• Lead financial analysis supporting value-based provider arrangements and alternative payment models.
• Evaluate provider contracts and identify opportunities to improve cost, quality, and overall value.
• Develop insights related to healthcare utilization, medical cost trends, and provider performance.
• Support design and measurement of value-based reimbursement initiatives across multiple lines of business.
• Build and oversee financial models to project provider contract performance and healthcare spending.
• Monitor performance against expectations and communicate findings to leadership.

Skills

Actuarial analytics

Leadership

Forecasting

Healthcare economics

Stakeholder comms

Education

Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, Finance, or related field

Job description

A major health plan is seeking a credentialed actuary to lead financial analysis and strategy related to provider reimbursement and value-based care initiatives. This individual will be responsible for evaluating provider performance, developing financial forecasts, identifying cost-saving opportunities, and partnering with senior leadership to drive healthcare affordability and operational effectiveness.

This is a highly visible, fully remote leadership opportunity that combines actuarial analytics, healthcare economics, provider contracting, and strategic business decision-making.

Key Responsibilities:

Value-Based Care Strategy & Analytics

• Lead financial analysis supporting value-based provider arrangements and alternative payment models.
• Evaluate the performance of provider contracts and identify opportunities to improve cost, quality, and overall value.
• Develop actionable insights related to healthcare utilization, medical cost trends, and provider performance.
• Support the design and measurement of value-based reimbursement initiatives across multiple lines of business.

Financial Forecasting & Performance Monitoring

• Build and oversee financial models used to project provider contract performance and healthcare spending.
• Analyze key drivers of medical cost trends and provide recommendations to improve financial outcomes.
• Monitor performance against expectations, identify emerging risks, and communicate findings to leadership.
• Support long-term strategic planning through actuarial and economic analysis.

Leadership & Cross-Functional Collaboration

• Manage and mentor a small team of actuarial and analytical professionals.
• Partner closely with leadership teams across actuarial, network management, finance, clinical, and strategy functions.
• Translate complex analytical findings into actionable recommendations for executive stakeholders.
• Foster a collaborative, high-performing team culture focused on innovation and continuous improvement.

Qualifications:

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, Finance, or a related field.
• 7+ years of health actuarial experience.
• Previous experience analyzing provider reimbursement arrangements, value-based care programs, or medical cost performance strongly preferred.
• Prior people management or team mentorship experience required.
• Strong understanding of healthcare economics, medical cost drivers, and health insurance financial performance.
• Experience building and presenting complex financial analyses to senior leadership.
• Excellent communication, project management, and stakeholder management skills.

Preferred Experience:

• Value-based care analytics.
• Total cost of care analysis.
• Claims-based experience studies.
• Healthcare trend analysis and forecasting.
• Commercial and/or government-sponsored health programs.