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Senior Actuarial Analyst (Actuarial Finance / Value-Based Care)

HarmonyCares
Remote, USA
Full-time
Senior · 5+ years experience
Remote
USD 110000-140000 yearly / year
Discovered 1 months ago
SQLSASRPython

Full Job Posting

Essential Duties and 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
  • Employees will be required to perform other job-related assignments as requested

Required Knowledge, Skills and Experience

  • Bachelor’s degree in actuarial science, Mathematics, Statistics, or a related quantitative field
  • 5+ years of experience in an 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

Preferred Knowledge, Skills and Experience

  • ASA or higher actuarial credential

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