Senior Actuarial Analyst- ACO (Remote)

Oliver James Group; Nashville (TN); Remote; USD 120.000 - 160.000; Vollzeit

Zusammenfassung

Oliver James Group is collaborating with a fast-growing healthcare organization to expand its actuarial capabilities in Value-Based Care analytics. You will own actuarial and financial analyses across VBC arrangements, working with Finance, Clinical and Analytics teams to uncover drivers of medical cost and utilization trends.

The role offers significant ownership, broad exposure to senior leadership, and a clear pathway for an ASA seeking to broaden provider-side risk experience within a

Qualifikationen

• ASA credential with 4+ years of healthcare actuarial experience.
• Experience with healthcare claims and membership data.
• Experience across Value-Based Care, ACOs, Medicare Advantage or health plan actuarial reporting.
• Expertise in medical cost/utilization, forecasting, reserving/IBNR, risk adjustment or VBC financials.
• Strong SQL and Excel abilities; SAS, Python or R a plus.

Aufgaben

• Own actuarial and financial analysis across Value-Based Care arrangements.
• Collaborate with Finance, Clinical and Analytics teams to identify drivers of performance.
• Translate complex healthcare data into meaningful financial insights.
• Contribute to building a growing actuarial function with leadership exposure.

Kenntnisse

Healthcare actuarial experience

SQL

Excel

Cost/utilization forecasting

VBC financial performance

Ausbildung

ASA credential

Tools

SAS

Python

R

Jobbeschreibung

Oliver James are pleased to be working with a fast-growing healthcare organization that is continuing to expand its actuarial capabilities as it brings additional Value-Based Care analytics and financial performance work in-house.

The team supports the financial performance of a growing portfolio of Value-Based Care arrangements, including health plan partnerships and ACO programs. At this level, you'll take ownership of actuarial and financial analysis across these arrangements, working closely with Finance, Clinical and Analytics teams to understand medical cost and utilization trends, identify the underlying drivers of performance and translate complex healthcare data into meaningful financial insights.

We're particularly interested in individuals with:

• ASA credentials with 4+ years of healthcare actuarial experience
• Strong experience working with healthcare claims and membership/eligibility data
• Experience across Value-Based Care, ACOs, Medicare Advantage and/or health plan actuarial reporting
• Expertise across areas such as medical cost/utilization, forecasting, reserving/IBNR, risk adjustment, total cost of care or VBC financial performance
• Strong SQL and Excel capabilities, with SAS, Python and/or R experience also beneficial

This is an opportunity to join a growing actuarial function where you'll have significant ownership, broad exposure across VBC financial performance and the opportunity to work closely with senior leadership. The position offers an excellent pathway for an ASA looking to broaden their experience across provider-side risk and progress within a developing actuarial team.

The position is fully remote across the US.