Senior Actuarial Analyst

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

The Senior Actuarial Analyst will support new business valuation, financial projections, actuarial reporting and IBNR reserving, and medical 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.

New Business Valuation & Financial Modeling (60%)

• Evaluate new payer partnerships and value-based contracting opportunities through experience analyses and financial projections.
• Analyze medical claims, eligibility, and revenue data to assess utilization, medical 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.

Medical Economics & Strategic Analytics (10%)

• Conduct medical 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

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 medical 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.

• 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…