[Remote] Manager, Actuarial Analytics
Note: The job is a remote job and is open to candidates in USA. athenahealth is working to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. The Manager of Actuarial Analytics will develop and apply advanced actuarial models and analytics to forecast healthcare utilization and support revenue projections in partnership with the FP&A team.
Responsibilities
- Design and maintain actuarial models to forecast healthcare utilization across the payer landscape (Medicare, Medicaid, Commercial, etc.)
- Analyze historical and emerging trends in healthcare delivery, utilization, and cost drivers
- Quantify and communicate drivers of variance to financial plans by specialty and payers
- Project revenue as a function of healthcare utilization, integrating actuarial standards and external trend information
- Inform quarterly and annual financial forecasts with actuarially sound inputs
- Evaluate the impact of legislative, regulatory, and market changes on revenue and utilization
- Conduct studies to identify early signs of adverse trends or opportunities for improvement
- Present findings and actionable recommendations to executive leadership and cross-functional teams
- Lead actuarial analysis of market trends, competitor strategies, and payer landscape changes
- Build, improve, and document models used for financial forecasting
- Enhance predictive analytics and proprietary algorithms to optimize outcomes
- Collaborate with market leadership, clinical operations, IT, and finance teams to align analytics with business needs
Skills
- Bachelor's degree in Actuarial Science, Statistics, Mathematics, or related field
- Associate or Fellow of the Society of Actuaries (ASA or FSA)
- 5+ years of experience in healthcare actuarial roles, with expertise in forecasting, utilization analysis, and financial modeling
- Experience with government healthcare contracts (Medicare, Medicaid) and commercial payer models
- Advanced proficiency in Excel, SQL, SAS, and other analytical tools; experience with data visualization platforms (e.g., Power BI, Tableau) preferred
- Excellent verbal and written communication skills, with the ability to present complex analyses to non-technical audiences
- Ability to collaborate across functions and work effectively with senior leadership and various business units
- Creative problem-solving skills and intellectual curiosity; ability to thrive in a fast-paced, evolving environment
- Exposure to multiple payer environments
- Proven ability to integrate actuarial standards with business strategy and operational goals
- Ability to leverage AI‑enabled tools, or show a strong eagerness to develop proficiency in them, to improve efficiency, scale insights, and streamline analytical and presentation workflows
Benefits
- Health and financial benefits
- Commuter support
- Employee assistance programs
- Tuition assistance
- Employee resource groups
- Collaborative workspaces
- Flexibility
- Book clubs
- External speakers
- Hackathons
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