Closer to a live pricing and contracting partner than a reserving-cycle role, because negotiations and contract outcomes drive the work.
Senior Health actuarial analyst role in Alhambra, California, with remote and hybrid options. You’ll own contract modeling across Medicare Advantage, Medicaid, and Commercial business, support payer negotiations, and analyze financial performance using Excel and SQL.
Requirements
Strongly preferred
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
Champion of independent critical thinking, unafraid to challenge the status quo and explore innovative solutions
Proficiency and desire to build actuarial models from scratch
Comfortable working on a small team in a fast-paced environment
Nice to have
Knowledge in health plan reimbursement methodologies
Experience working on the provider side of healthcare
Experience in Medicare Advantage bid mechanics
Risk adjustment experience
Experience in the California healthcare market
Understanding of the actuarial continuum (both pricing/forecasting and valuation/reserving)
Skills & Domain
ToolsExcel
DomainValue-based care (VBC) experienceHealth plan contract modelingMedicare Advantage or Medicaid experienceFinancial analysis for payer contracts