Senior Actuarial Analyst, Medicaid & Value-Based Care

Selby Jennings; Chicago (IL); On-site; USD 110,000 - 150,000; Full time

Job summary

Selby Jennings is seeking a Senior Actuarial Analyst to support Medicaid and Value-Based Care initiatives through advanced actuarial analysis, financial modeling, and healthcare analytics. The role focuses on evaluating population health performance, monitoring financial outcomes, and driving data-informed decision making across value-based programs.

The ideal candidate brings hands-on SQL experience and a deep understanding of PMPM and MLR metrics, with collaboration across clinical, finance,

Qualifications

• BSc in Actuarial Science or related field with strong quantitative background.
• 3+ years actuarial or healthcare analytics experience in Medicaid/managed care.
• Progress toward ASA designation preferred.
• Advanced SQL skills with large healthcare datasets.
• Experience with PMPM analyses, forecasting, and financial reporting.
• Strong knowledge of MLR and healthcare economics.
• Experience with Value-Based Care programs (MSSP, ACOs, capitation).
• Excel and data visualization tools (Power BI/Tableau) proficiency.

Responsibilities

• Analyze Medicaid populations and value-based care arrangements for cost, utilization, and quality trends.
• Develop and maintain financial models for VBC programs, capitation, and shared savings.
• PMPM analyses to forecast costs and support budgeting.
• Monitor Medical Loss Ratio (MLR) performance and provide insights to leadership.
• Use SQL to extract and analyze large healthcare datasets from multiple sources.
• Support actuarial forecasting, budgeting, and financial planning processes.
• Create reports and dashboards tracking financial, operational, and population health metrics.
• Collaborate with Clinical, Network, Finance, Population Health, and Analytics teams to improve programs.
• Conduct ad hoc analyses on cost containment, utilization, risk adjustment, and provider performance.
• Present findings and recommendations clearly to stakeholders.

Skills

Actuarial analysis

Healthcare analytics

Forecasting

Data visualization

Communication

Education

Bachelor's in Actuarial Science

Tools

SQL

Job description

Selby Jennings is seeking a Senior Actuarial Analyst to support Medicaid and Value-Based Care initiatives through advanced actuarial analysis, financial modeling, and healthcare analytics. The role focuses on evaluating population health performance, monitoring financial outcomes, and driving data-informed decision making across value-based programs.

The ideal candidate brings hands-on SQL experience and a deep understanding of PMPM and MLR metrics, with collaboration across clinical, finance,