Role Overview
- Reserving: Develop and maintain actuarial models to estimate liabilities for Incurred but Not Paid (IBNP) claims across all lines of business (Medicare, Medicaid, and Commercial).
- Financial Planning and Analysis: Support budgeting and forecasting by maintaining and improving P&L models and forecasting tools, as well as developing new tools to identify emerging trends and improve predictive accuracy.
- Cost Trend Evaluation: Manage the Actuarial Trend Model used in operational and financial decision-making and analyze healthcare utilization patterns and cost trends to identify areas for improvement and opportunities for cost savings.
- Actuarial Studies: Develop actuarial studies relating to items such as seasonality, high claim predictive modeling, trend, and inventory levels.
- Audit and Reporting: Maintain, develop, and create ad hoc audit documentation in support of a public company, adhering to SOX compliance standards.
- Infrastructure Development: Build robust analytical infrastructure, including comprehensive reports and dashboards, to monitor expense experience.
- Cross-Functional Collaboration: Work closely with teams across ACO, Analytics, Data, Finance, M&A, Contracting, Medical Economics, and Operations.
- Ad Hoc Analysis: Support a fast-growing company with diverse actuarial projects and requests as they arise.
- Other duties as assigned.
Requirements
- 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.
- Proficiency and desire to build actuarial models from scratch.
- Comfortable working on a small team in a fast-paced environment.
Preferred Qualifications:
- Understanding of the actuarial continuum (both pricing/forecasting and valuation/reserving).
- Experience with a variety of different LOBs.
- Experience producing public financial reports.
- Experience working on the provider side of healthcare.
- Experience with Databricks, Python.
- Experience in the California healthcare market.
- Champion of independent critical thinking, unafraid to challenge the status quo and explore innovative solutions.
Tech Stack
Benefits
- 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.
- 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 humanresourcesdept@astranahealth.com to request an accommodation.****