Astrana Health

Astrana Health, formerly known as ApolloMed, is a leading risk-bearing, technology-powered health company. The company operates an integrated healthcare deliver

Actuary Manager

ActuaryActuaryFull TimeRemoteSeniorCompany Site

Location

California

Posted

2 days ago

Salary

$135K - $165K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglishSQL

Job Description

• Develop and maintain actuarial models to estimate liabilities for Incurred but Not Paid (IBNP) claims across all lines of business (Medicare, Medicaid, and Commercial). • Assist in quarterly earnings reporting to provide financial clarity for internal and external stakeholders of a publicly traded company. • Support budgeting and forecasting by designing P&L models, forecasting tools, and identifying emerging trends. • 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. • Develop actuarial studies relating to items such as seasonality, trend, and inventory levels. • Identify, develop, and document audit findings, presenting results to key stakeholders to inform strategic decisions. • Build robust analytical infrastructure, including comprehensive reports and dashboards, to monitor expense experience. • Convert operational risk adjustment data into actionable financial insights. • Work closely with teams across ACO, Analytics, Data, Finance, M&A, Contracting, Medical Economics, and Operations. • Support a fast-growing company with diverse actuarial projects and requests as they arise.

Job Requirements

  • FSA or ASA credentials.
  • 5+ years of experience in actuarial roles.
  • 1+ years of experience in VBC or VBC adjacent roles.
  • Strong reserving skills and background.
  • Some experience in forecasting/pricing.
  • 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.
  • Experience with a variety of different LOBs.
  • Experience producing public financial reports.
  • Experience working on the provider side of healthcare.
  • Risk adjustment experience.
  • Experience with PowerBI.
  • Experience in the California healthcare market.
  • Champion of independent critical thinking, unafraid to challenge the status quo and explore innovative solutions.

Benefits

  • This is a remote role within the United States.
  • The target pay range for this role is: $135,000 - $165,000. This salary range represents our national target range for this role.
  • Environmental Job Requirements and Working Conditions.

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