Sr. Analyst - Actuary

Astrana Health Management; Alhambra, Northern (CA, KY); Hybrid; USD 100,000 - 135,000; Full time

Job summary

Astrana Health Management is seeking a Sr. Analyst - Actuary to drive financial analytics for payer contracts. You will own contract modeling across MA, Medicaid, and Commercial lines, build models from scratch, track performance, and support negotiations.

This role offers remote work and reports to the Senior Manager, Actuary. Ideal candidates have ASA/FSA credentials or near attainment, strong Excel and SQL skills, and 3+ years in actuarial roles.

Qualifications

• FSA or ASA credentials or near attainment.
• 3+ years of actuarial experience.
• Advanced Excel skills for modeling and analysis.
• Strong analytical and problem solving abilities.

Responsibilities

• Strategic deal modeling to support contract negotiations with health plans.
• Data-driven insights to improve financial and operational performance of payer contracts.
• Financial impact analysis using advanced data tools for tracking and forecasting.
• Develop and maintain analytical infrastructure, dashboards, and reports.

Skills

Excel

SQL

Independent thinking

Build actuarial models

Education

FSA/ASA credentials or near attainment

Tools

Microsoft Excel

SQL

Job description

Sr. Analyst - Actuary

Department: Actuarial Services

Employment Type: Full Time

Location: 1668 S. Garfield Ave. 2nd Floor, Alhambra, CA 91801

Reporting To: Matt McCarron

Compensation: $100,000 - $135,000 / year

Description

We are seeking an Actuarial Senior Analyst to help drive the financial analytics behind our payer contracts. This role will own contract modeling across our MA, Medicaid, and Commercial business. You'll build models from scratch, track contract performance, and support payer negotiations. This role will report to the Senior Manager, Actuary and is open for remote work.

Our Values:

• Put Patients First


• Empower Entrepreneurial Provider and Care Teams


• Operate with Integrity & Excellence


• Be Innovative


• Work As One Team

What You'll Do

• Strategic Deal Modeling: Craft sophisticated deal models to support contract negotiations with health plans, ensuring favorable terms and optimal outcomes.


• Data-Driven Insights: Utilize data and analytics to provide consultative support, driving financial and operational performance improvements for our health plan contracts.


• Financial Impact Analysis: Employ advanced data tools to track, analyze, forecast, and report on the financial impact of payer contracts.


• Infrastructure Development: Build robust analytical infrastructure, including comprehensive reports and dashboards, to monitor payer financial performance.


• Market Trend Monitoring: Stay ahead of industry developments researching topics such as changes in legislation, market share, Star Ratings, bid strategies, and reimbursement trends.


• Ad Hoc Analysis: Conduct a variety of analyses related to benchmarking, contract optimization, investor relations, risk adjustment, and more.


• Cross-Functional Collaboration: Work closely with teams across Reserving, Analytics, Data, Finance, M&A, Contracting, Medical Economics, and Operations.

Qualifications

• FSA or ASA credentials or near attainment of ASA credentials.


• 3+ years of experience in actuarial roles.


• 1+ years of experience in VBC or VBC adjacent roles.


• Advanced knowledge of Microsoft Excel.


• Intermediate knowledge of SQL.


• Champion of independent critical thinking, unafraid to challenge the status quo and explore innovative solutions.


• Proficiency and desire to build actuarial models from scratch.


• Comfortable working on a small team in a fast-paced environment.

Preferred Qualifications

• Knowledge in health plan reimbursement methodologies.


• Experience working on the provider side of healthcare.


• Experience in Medicare Advantage bid mechanics.


• Risk adjustment experience.


• Experience in the California healthcare market.


• Understanding of the actuarial continuum (both pricing/forecasting and valuation/reserving).

Environmental Job Requirements and Working Conditions

• This position has the option to be remotely based in the U.S. Conversely, candidates can choose to work in a hybrid fashion and work through the Alhambra, CA, Las Vegas, NV, or Houston, TX Astrana Health offices.


• The hiring manager for this role sits in the Eastern Time Zone, while many of the business partners work on Pacific Time.


• The total compensation target pay range for this role is: $100,000 – $135,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.


• Astrana Health offers a competitive Actuarial Student Program for any candidate seeking their ASA or FSA credentials.