The Senior Actuarial Analyst position will be a vital part of ConcertoCare’s growth of the finance team. The person in this role will be asked to hit the ground running in building, maintaining and automating actuarial models that will be used to inform market and clinical leaders on pricing, forecasting and VBC contract performance measurement. It is important that the candidate has experience working with messy data and knows how to draw conclusions with limited information. They will be crucial to our expansion across the country!

DUTIES AND RESPONSIBILITIES MAY INCLUDE:

Financial Forecasting:

• Perform the monthly reserve-setting process applying both modeling and judgment.
• Quantify and highlight drivers of variance to the financial plan by line of business.
• Track risk-adjustment and revenue projections.

Pricing and Underwriting:

• Support business development discussions, contributing strong recommendations on how to best structure risk-sharing arrangements through a combination of historic and predictive analytics.
• Model various pricing structures and financial guardrails for each line of business, leveraging emerging experience and actuarial judgment.

Model Building and Development:

• Improve, build, maintain, and document new financial forecasting and pricing models that can be used across markets and programs.
• Work with IT partners to create reporting in analytic tools such as Power BI. Understand both the technical and business needs 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 algorithm to optimize outcomes.

CAPABILITIES REQUIRED:

• 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 a non-technical audience.
• Develop and maintain strong working relationships with key stakeholders including market leadership, physician and clinical operations leadership, IT, the revenue optimization team, and finance peers.
• Ready to build new tools and capabilities in a new organization; show great initiative combined with the knowledge of when to ask for guidance.
• Manage several fast-paced projects with an ability to produce quality materials within tight timeframes.
• Integrate actuarial industry standards and external trend information to help ConcertoCare develop prospective and target performance levels.

QUALIFICATIONS

• Bachelor’s degree in actuarial studies, statistics, or related field preferred
• Associate of the Society of Actuaries (ASA) preferred. 2+ Exams required.
• 2-5 years of experience in the healthcare actuarial field with a strong understanding of health insurance product design (ideally Medicare and Medicaid), reserving/forecasting, Medicare bid pricing.
• Value-based contracting modelling experience strongly preferred.
• Actuarial consulting experience preferred but not required.
• Experience in Government health care contracts preferred (Medicare and Medicaid)
• Proficient in Excel, Microsoft Office, SQL, SAS or other coding language

Base Salary/ Wage Range $90,000 to $105,000 plus annual bonus. Compensation for the role is commensurate with the candidate’s qualifications, skills, competencies, and experience and may fall outside of the range shown. ConcertoCare offers a competitive total rewards package, which includes full healthcare coverage, a 401K with match, and a broad range of other health, wellness, and financial benefits.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

ConcertoCare is an Alcohol/Drug/Smoke-Free Workplace