Senior Actuarial Analyst: Value-Based Care Forecasts

HarmonyCares; Almont (CO); On-site; USD 110,000 - 140,000; Full time

Benefits offered by this job

Health, Dental, Vision Insurance

401K with company match

Licensure & Certification reimburse

Paid Time Off

Orientation & Training

11-state presence

Largest home-based PCP in US

Job summary

HarmonyCares is seeking a Senior Actuarial Analyst to support the Actuarial Finance function with a focus on Value-Based Care performance recognition and narrative development for senior leadership.

You will design and maintain models for VBC membership, revenue, and medical expenses, automate recurring analyses, and translate complex results into clear executive outputs while collaborating across finance, clinical, and strategy teams.

Qualifications

• Bachelor’s degree in actuarial science, Mathematics, Statistics, or a related quantitative field.
• 5+ years of experience in actuarial, analytical, or finance role within a team-based environment.
• 5+ years of experience in managed care, healthcare, or a related regulated industry.
• Strong analytical and modeling skills using Excel or comparable modeling tools.
• Strong data analysis skills using SQL, SAS, R, Python or comparable tools.
• Demonstrated experience automating recurring analytical work, models, or reporting processes.
• Ability to synthesize quantitative results into clear written and verbal explanations for non-technical audiences.
• Ability to work independently in a dynamic, evolving, and sometimes ambiguous environment.
• Sound professional judgment, intellectual curiosity, and comfort questioning results, assumptions, and outputs.
• Strong communication skills, including the confidence to surface risks, limitations, and uncertainties.
• Demonstrated ability to apply AI responsibly, with attention to data quality, bias, reproducibility, and professional standards.
• Comfort preparing executive level summaries that clearly distinguish modeled results, interpretation, and judgment.
• Experience supporting Value Based Care, ACOs, MA, MSSP, or other risk-based reimbursement models preferred.
• Practical experience using AI enabled tools to support analysis, interpretation, documentation, or narrative development, with appropriate validation and oversight preferred.

Responsibilities

• Support Actuarial Finance in the analysis, forecasting, and recognition of VBC Membership, Revenue, and Medical Expense, including assessment of trend drivers, utilization dynamics, and emerging risks.
• Design, build, and maintain actuarial and financial models supporting trend projections, forecasting, VBC performance tracking, and risk arrangement evaluation.
• Translate complex modeling results and data analyses into clear, decision ready outputs, including executive level summaries, financial commentary, and performance narratives.
• Collaborate with actuarial, finance, clinical, and strategy teams to ensure analytical findings are aligned with business context and operational realities.
• Lead or contribute to the development of data tools that stratify large datasets across financial, utilization, quality, and outcomes dimensions.
• Communicate findings succinctly and effectively to a range of stakeholders, adjusting technical depth and framing based on audience needs.
• Develop repeatable, automated analytical workflows, leveraging scripting, templated models, and AI assisted tools where appropriate, to improve accuracy, timeliness, and scalability.
• Identify opportunities to improve existing processes through automation, standardization, or AI assisted augmentation, while maintaining transparency, controls, and appropriate documentation.
• Establish trusted performance narratives used in senior leadership decision-making.
• Reduce cycle time and manual effort for recurring VBC performance analyses through process improvement and automation.

Skills

Excel

SQL

Python

SAS

Automation

Communication

Independent work

AI tools

Education

Bachelor’s degree in actuarial science or related field

Tools

SAS

R

Python

Excel

Job description

HarmonyCares is seeking a Senior Actuarial Analyst to support the Actuarial Finance function with a focus on Value-Based Care performance recognition and narrative development for senior leadership.

You will design and maintain models for VBC membership, revenue, and medical expenses, automate recurring analyses, and translate complex results into clear executive outputs while collaborating across finance, clinical, and strategy teams.