Senior Actuarial Analyst

Job Summary

As a growing value-based care organization, [Employer] offers opportunities to gain broad exposure to the financial and operational drivers of full-risk Medicare Advantage arrangements.

The [Employer] Actuarial Analyst will support new business valuation, financial projections, actuarial reporting and IBNR reserving, and [Employer] economics analyses. Working closely with actuarial leadership and cross-functional teams, this role will provide insights that inform strategic and operational decisions, with opportunities to mentor junior analysts.

The ideal candidate is analytical, self-motivated, and capable of independently managing complex analyses, investigating unexpected results, identifying underlying business drivers, and translating findings into actionable recommendations.

Job Description

Essential Duties and Responsibilities

New Business Valuation & Financial Modeling (60%)

• Evaluate new payer partnerships and value-based contracting opportunities through experience analyses and financial projections.
• Analyze [Employer] claims, eligibility, and revenue data to assess utilization, [Employer] cost trends, risk adjustment, and contract economics.
• Develop and maintain financial models evaluating contract performance under varying membership, revenue, trend, and clinical intervention assumptions.
• Identify opportunities to improve actuarial methodologies, automate processes, and enhance analytical efficiency.

Financial Reporting & Reserving (30%)

• Support the Actuarial Manager in developing monthly financial reports, forecasts, and analyses to support leadership decision-making.
• Provide mentorship and analytical guidance to the Actuarial Analyst.
• Develop and enhance IBNR models, evaluate claims development patterns, and assess emerging experience and reserve adequacy.
• Independently investigate financial variances, data inconsistencies, and unexpected results to identify root causes.
• Perform thorough quality assurance and reasonableness reviews to ensure accurate, complete, and reliable deliverables.

[Employer] Economics & Strategic Analytics (10%)

• Conduct [Employer] economics analyses to assess healthcare utilization, cost drivers, clinical intervention savings, and opportunities for improved financial performance.
• Support revenue forecasting, risk adjustment analyses, and other strategic initiatives through statistical modeling and advanced analytical techniques.
• Collaborate with cross-functional stakeholders to address business questions, interpret analytical findings, and provide actionable recommendations.

Salary: $78,000 -$157,000/year

Job Requirements

Required Qualifications

Education:

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or a related quantitative field.

Experience:

• Minimum of 4 years of healthcare actuarial experience.
• Experience analyzing large healthcare datasets, including [Employer] claims, eligibility, and revenue.

Skills:

• Advanced proficiency in Microsoft Excel.
• Strong SQL skills.
• Strong analytical, quantitative, and financial modeling capabilities.
• Ability to independently investigate complex analytical issues, identify root causes, and develop practical solutions.
• Ability to manage competing priorities and deliver accurate, complete, and timely work.
• Strong attention to detail and ability to evaluate assumptions and analytical results for reasonableness.
• Ability to communicate complex findings to technical and nontechnical stakeholders.
• Ability to connect financial and actuarial findings to business decisions and recommendations.

Certifications/Licenses:

• None.

Preferred Qualifications

• ASA designation or active pursuit of actuarial credentials with at least 4 exams completed.
• Experience with Medicare Advantage, value-based care, or risk-bearing healthcare organizations.
• Experience with IBNR reserving, financial reporting, forecasting, contract valuation, or [Employer] economics.
• Proficiency in Python or other programming languages.

Physical and Mental Requirements

• Ability to lift up to 20 lbs.
• Ability to sit for extended periods while performing computer-based analytical work.
• Visual acuity and fine motor skills necessary to perform computer-based work, review data, and prepare reports.
• Ability to manage multiple priorities, analyze complex information, exercise independent judgment, and meet established deadlines.

Work Environment

• Chicago-based employees are able to work in the office.
• Remote work is available for employees designated as remote.
• Travel may be required up to 10% locally or nationally.
• This position does not have direct supervisory responsibility.

Sponsorship Statement

[Employer] does not offer employment-based visa sponsorship for this position. Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future.

Pay Transparency Statement

Compensation for this position will be disclosed in accordance with applicable state and local pay transparency laws.

Drug Screening Requirement:As a condition of employment, [Employer] requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company’s Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion drug testing. The company reserves the right to test for substances that may impair an employee’s ability to safely and effectively perform their job duties.

Background Check Statement

Employment is contingent upon successful completion of a background check, as permitted by law. As a healthcare organization, [Employer] conducts monthly FACIS (Fraud and Abuse Control Information System) checks on all employees. Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws and regulations.

Equal Employment Opportunity (EEO) Statement

[Employer] is 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, protected veteran status, or any other legally protected status.

Americans with Disabilities Act

[Employer] is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application, interview or employment process, please contact Human Resources at

At-Will Employment Statement

Employment with [Employer] is at-will unless otherwise specified by contract. This job description does not constitute an employment contract.

Disclaimer

This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.

Originally posted on [Employer]