Senior Actuarial Analyst – Actuarial Finance, Value-Based Care

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $110k - $140k / year

⏰ Full Time

🟠 Senior

📊 Actuary

👻 Ghost score 0%

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HarmonyCares

1001 - 5000 employees

Founded 1993

🏥 Healthcare

⚕️ Healthcare Insurance

💰 Venture Round on 2021-11

Healthcare • Healthcare Insurance • Home Health

HarmonyCares is a leading provider of comprehensive, home-based healthcare services across 15 states in the U. S. The company specializes in in-home physician care, skilled nursing, therapy, and hospice care for patients, particularly those with Medicare and complex medical conditions. HarmonyCares aims to offer dignified, patient-centered care, allowing individuals to maintain their health and independence in the comfort of their own homes.

📋 Description

• Support Actuarial Finance in the analysis, forecasting, and recognition of VBC Membership, Revenue, and Medical Expense • Assess trend drivers, utilization dynamics, and emerging risks • Design, build, and maintain actuarial and financial models supporting trend projections, forecasting, VBC performance tracking, and risk arrangement evaluation • Translate complex modeling results and data analyses into executive level summaries, financial commentary, and performance narratives • Collaborate with actuarial, finance, clinical, and strategy teams • Lead or contribute to data tools that stratify large datasets across financial, utilization, quality, and outcomes dimensions • Communicate findings to a range of stakeholders, adjusting technical depth and framing based on audience needs • Develop repeatable, automated analytical workflows using scripting, templated models, and AI assisted tools where appropriate • Identify opportunities to improve processes through automation, standardization, or AI assisted augmentation while maintaining transparency, controls, and documentation • Establish trusted performance narratives used in senior leadership decision-making • Reduce cycle time and manual effort for recurring VBC performance analyses through process improvement and automation • Perform other job-related assignments as requested

🎯 Requirements

• Bachelor’s degree in actuarial science, Mathematics, Statistics, or a related quantitative field • 5+ years of experience in an actuarial, analytical, or finance role within a team-based environment • 5+ years of experience in managed care, healthcare, or a related regulated industry • Strong analytical and modeling skills using Excel or comparable modeling tools • Strong data analysis skills using SQL, SAS, R, Python or comparable tools • Demonstrated experience automating recurring analytical work, models, or reporting processes • Ability to synthesize quantitative results into clear written and verbal explanations for non-technical audiences • Ability to work independently in a dynamic, evolving, and sometimes ambiguous environment • Sound professional judgment, intellectual curiosity, and comfort questioning results, assumptions, and outputs • Strong communication skills, including the confidence to surface risks, limitations, and uncertainties • Demonstrated ability to apply AI responsibly, with attention to data quality, bias, reproducibility, and professional standards • Comfort preparing executive level summaries that clearly distinguish modeled results, interpretation, and judgment • Experience supporting Value Based Care, ACOs, MA, MSSP, or other risk-based reimbursement models preferred • Practical experience using AI enabled tools to support analysis, interpretation, documentation, or narrative development, with appropriate validation and oversight preferred • ASA or higher actuarial credential preferred

🏖️ Benefits

• Health, Dental, Vision, Disability & Life Insurance • 401K Retirement Plan (with company match) • Tuition, Professional License and Certification Reimbursement • Paid Time Off, Holidays and Volunteer Time • Paid Orientation and Training

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