Actuary – Value-Based Care
Core
Develop financial models and analyze claims data to assess risk, pricing, and value in value-based care (VBC) arrangements.
Role type
Senior Actuary (Value-Based Care)
Builds
Financial models for shared savings/risk, capitation, and bundled payment contracts
Domain
Healthcare / Actuarial Science
Required skills
Actuarial modeling, claims analysis, trend analysis, financial modeling, contract negotiation support, statistical analysis, vendor performance evaluation
Preferred skills
Strategic thinking, Excel, SQL, Teradata, Snowflake
Responsibilities
Lead development of financial models for VBC arrangements; Analyze claims and vendor performance data to establish baselines and identify trends; Provide analytical support during external vendor negotiations; Communicate complex findings to leadership; Collaborate with Medicare/Marketplace and Medicaid teams; Independently identify issues in vendor contracts and drive solutions
Seniority
Senior, hands-on IC