Sr. Analyst - Actuary
Description
Job Title: Sr. Analyst - Actuary
Department: Finance
Department: Finance
About the Role:
We are seeking a Sr. Analyst who thrives on independent thinking and enjoys building models and analyses from the ground up. This role offers the opportunity to leverage your healthcare and actuarial expertise to contribute to our leading position in the value-based care revolution. Reporting to the Senior Director, Actuary, this position is open for remote work.
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 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 payor contracts.
- Audit and Reporting: Identify, develop, and document audit findings, presenting results to key stakeholders to inform strategic decisions.
- Infrastructure Development: Build robust analytical infrastructure, including comprehensive reports and dashboards, to monitor payor financial performance.
- Market Trend Monitoring: Stay ahead of industry trends impacting contracting, such as payor market share, STAR rating changes, 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 ACO, Analytics, Data, Finance, M&A, Contracting, Medical Economics, and Operations.
- Cost Trend Evaluation: Analyze healthcare utilization patterns and cost trends to identify areas for improvement and opportunities for cost savings.
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.
- Understanding of the actuarial continuum (both pricing/forecasting and valuation/reserving).
- Proficiency and desire to build actuarial models from scratch.
- Comfortable working on a small team in a fast-paced environment.
You are a great fit if:
- Knowledge in health plan reimbursement methodologies
- Experience working on the provider side of healthcare.
- Risk adjustment experience.
- Knowledge working with PowerBI.
- Experience in the California healthcare market.
- Champion of independent critical thinking, unafraid to challenge the status quo and explore innovative solutions.
Who We Are:
Astrana Health, formerly known as Astrana Health, (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.
Our platform currently empowers over 10,000 physicians to provide care for over 1.9 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.
Our Values:
- Put Patients First
- Empower Entrepreneurial Provider and Care Teams
- Operate with Integrity & Excellence
- Be Innovative
- Work As One Team
Environmental Job Requirements and Working Conditions:
- This position is Remote, U.S based
- The hiring manager for this role sits in the Central Time Zone, while many of the business partners work on Pacific Time and others on Eastern Time.
- The total compensation target pay range for this role is: $100,000 – $140,000. The salary range represents our national target range for this role.
- Astrana Health offers a competitive Actuarial Student Program for any candidates seeking their FSA credentials.
Astrana is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.