Sr Actuarial Analyst

ConcertoCare; Renton (WA); On-site; USD 110,000 - 140,000; Full time

Job summary

ConcertoCare is seeking a Senior Actuarial Analyst to shape our growth by building actuarial models and studies guiding pricing, forecasting, and value‑based care contract performance. This role translates complex data into actionable insights and supports decision‑making at the executive level.

You will partner with market, clinical, and finance leaders to strengthen performance measurement and contribute to our expansion across the country through rigorous analytics and compelling reporting.

Job description

ConcertoCare

Description

The Senior Actuarial Analyst will play a key role in shaping ConcertoCare’s continued growth by building actuarial models and studies that guide decision‑making across pricing, forecasting, and value‑based care contract performance. This is an exciting opportunity for someone who enjoys turning complex, imperfect data into meaningful insights and partnering with market, clinical, and finance leaders to drive impact. The person in this role will help strengthen how we measure performance, support strategic decisions, and contribute to our expansion across the country.

Medical Expense Reporting:

• Design and perform actuarial studies and reports related to medical costs, risk scores, revenue, and membership, develop strong visuals and key insights to support deliverables to executive leadership
• Analyze results to identify early signs of adverse trends or other issues related to medical care costs and premium based revenue
• Work in collaboration with IT to optimize data ingestion and reconciliation to ensure data accuracy

Forecasting and Analytic Analysis:

• Inform the financial forecast with actuarially‑sound studies to enhance accuracy
• Analytic support to explain variation from forecasted outcomes and collaborate with adjacent teams to recommend changes to optimize results

Pricing and Underwriting:

• Contributing strong recommendations on how to best measure program impacts with use of historic and predictive analytics.
• Support Finance in business development discussions, contributing strong recommendations on how to best structure risk‑sharing arrangements through a combination of historic and predictive analytics.

Model Building and Development:

• AI experience: extra consideration given to candidates who have demonstrated effective use of AI tools
• Work with IT partners to create reporting in analytic tools such as Power BI. Understand both technical and business need to create stellar reporting that answers important business questions.

Performance Measurement:

• Perform analytics and reporting on existing and new programs.
• Conduct studies on the value of existing and potential interventions and clinical programs - both to optimize our clinical models, as well as for use in marketing materials.
• Enhance predictive analytics and proprietary clinical algorithms to optimize outcomes.

Our ideal candidate can:

• Apply a healthy balance of creative thinking and actuarial discipline in the development of core actuarial processes and analytics.
• Identify overall drivers of emerging results and communicate clearly and succinctly to