Senior Actuarial Analyst: Value-Based Care & Forecasting

Great Lakes Integrated Network IPA (GLIN IPA); Buffalo (NY); Vor Ort; USD 86.000 - 118.000; Vollzeit

Benefits dieser Stelle

Health benefits

Dental benefits

401K

Vacation and PTO

Zusammenfassung

Great Lakes Integrated Network IPA seeks a Senior Actuarial Analyst to apply actuarial principles, modeling, and financial analysis to value-based programs and contracting. You will develop reserve estimates, forecast performance, and support strategic decisions.

Key duties include building predictive models, evaluating reimbursement methodologies, and delivering executive insights for Commercial, Medicare, Medicaid, and Government programs.

Qualifikationen

• Bachelor's degree in actuarial science, mathematics, statistics, or related field.
• 3 years as an actuarial analyst in health insurance or value-based care.
• Successful completion of two SOA exams.

Aufgaben

• Develop actuarial models to support reimbursement strategies and risk-sharing arrangements.
• Design and maintain predictive financial models to forecast costs and contract performance.
• Analyze utilization, claims, quality and financial data to identify trends and quantify financial risk.
• Support provider and payer contract negotiations by modeling financial scenarios.
• Prepare executive analyses and contribute to budgeting and long-range planning.

Kenntnisse

Actuarial analysis

Statistical modeling

Financial analysis

SOA exam progress

Data interpretation

Ausbildung

Bachelor's degree in actuarial science, Mathematics, Statistics, or related field

Tools

Excel

SQL

Jobbeschreibung

Great Lakes Integrated Network IPA seeks a Senior Actuarial Analyst to apply actuarial principles, modeling, and financial analysis to value-based programs and contracting. You will develop reserve estimates, forecast performance, and support strategic decisions.

Key duties include building predictive models, evaluating reimbursement methodologies, and delivering executive insights for Commercial, Medicare, Medicaid, and Government programs.