Astrana Health, Inc.

The Actuarial Manager will develop and maintain actuarial models for liability estimation, including IBNP claims across Medicare, Medicaid, and Commercial lines of business. This role also involves supporting quarterly earnings reporting, financial planning, and analyzing healthcare utilization and cost trends.

The representative will handle daily inbound and outbound calls from members, providers, and health plans, focusing on tasks like verifying authorization, claims, and eligibility, and documenting all interactions accurately. Key duties also involve assisting with member appointments, resolving walk-in concerns, managing specialist termination notifications, and arranging transportation for certain members.

The representative will handle daily inbound and outbound calls from members, providers, and health plans, focusing on answering inquiries, verifying authorizations, claims, and eligibility, and documenting all interactions accurately. Key duties also involve assisting with member outreach, appointment arrangements, resolving walk-in concerns, and managing specific tasks like Medicare authorization notifications and transportation arrangements.

We are hiring a Senior Analyst – Medical Economics to support data-driven decision making across the organization. Reporting to the Director of Medical Economics, this role plays a key part in analyzing healthcare cost and utilization trends, developing actionable insights, and s...