COPE Health Solutions Careers

Description

The Analyst, Healthcare Financial Analytics functions as a junior actuary embedded within the finance team, responsible for the financial analysis of claims and healthcare data across Accountable Care Organizations (ACOs) and Health Plans. This role builds and maintains key actuarial and financial analytics — including IBNR, reserves, accruals, and risk/trend modeling — and translates complex claims and financial data into clear, decision-ready insights for senior financial leadership. The Analyst will serve as the finance lead on select financial analyses, working directly with database-level claims data and collaborating with senior actuaries at client partners as well as senior financial leadership within CHS.

This role is well suited to a candidate with a strong healthcare finance foundation who holds an actuarial designation (ASA or higher) or is actively pursuing one, and who is looking to grow into broader financial leadership responsibilities within a healthcare finance function.

Position Description:

· Perform financial analysis of claims and healthcare financial data for ACOs, Risk Bearing Organizations and Health Plans, including trend analysis, reserve adequacy, and risk-adjusted performance

· Model and monitor key actuarial analytics, including IBNR estimates, claims reserves, accruals, and risk/trend development

· Apply working knowledge of healthcare finance fundamentals — premium, risk adjustment, IBNR, reserves, and accruals — to support financial reporting and forecasting

· Support analysis across Medicare Fee-for-Service (FFS), Medicare Advantage, and value-based care risk models, including shared savings and capitated arrangements

· Serve as finance support in preparing financial analyses and materials for review by senior financial leadership

· Query and work directly with claims and financial data from the database (SQL) to build and validate models and reporting

· Partner with senior actuaries at client organizations and senior financial leadership within CHS, gaining direct exposure to actuarial and executive-level financial decision-making

· Prepare clear, well-organized presentations and materials that communicate financial and actuarial findings to non-technical and executive audiences

· Identify trends, variances, and risk factors in claims and financial data, and proactively flag issues or opportunities to leadership

· Support ad hoc financial and actuarial analysis as business needs evolve

Qualifications:

· Bachelor's degree required, preferably in Actuarial Science, Finance, Economics, Statistics, Mathematics, or a related quantitative field

· Prior healthcare industry experience strongly preferred

· Active actuarial exam progress required; candidates who have attained an actuarial designation (ASA) or who are on track to complete one within the next year are preferred

· Strong understanding of healthcare finance fundamentals: premium, risk adjustment, IBNR, reserves, and accruals

· Working knowledge of Medicare FFS, Medicare Advantage, and value-based care risk models (e.g., shared savings, capitation)

· Working proficiency in SQL, with the ability to query and work directly with data from source databases

· Strong analytical and financial modeling skills, with high attention to accuracy and detail

· Strong presentation skills, with the ability to translate complex financial/actuarial concepts for senior leadership audiences

· Ability to work effectively and independently in a fast-paced, deadline-driven environment

· Excellent written and verbal communication skills

· Proficiency in Microsoft Office suite (Excel, PowerPoint, Word, Outlook)

Benefits:

As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities, and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/. About COPE Health Solutions COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com 

To Apply:

To apply for this position, or to view all available positions, visit us at https://copehealthsolutions.com/careers/open-positions/.