Senior Actuarial Analyst

Summary

Join Abarca, a revolutionary healthcare company, as a Senior Actuarial Analyst. You will leverage your analytical and programming skills to develop analytics tools, providing financial insights and strategic problem-solving for internal and external clients. Your responsibilities include optimizing forecasts, leading benchmarking projects, developing actuarial work products, creating value proposition models, and supporting the development of analytic tools. This role requires a Bachelor's degree in a related field and 6+ years of healthcare actuarial experience or equivalent. Experience with statistical programming languages and project management skills is essential. Abarca offers a flexible hybrid work model with opportunities for professional growth.

Requirements

• Bachelor's Degree in Statistics, Computer Science, Mathematics, Social Science, Economics, Finance, or a related field (or 2+ years equivalent experience in health insurance or PBM setting)
• 6+ years healthcare actuarial experience or equivalent healthcare analytics role utilizing claims data
• Experience using statistical programming languages.  Examples include SAS, VBA, SQL, Python, and R
• Experience applying project management skills in data-related and financial analysis projects
• Experience driving and taking ownership of creating cost savings and ROI models
• Excellent oral and written communication skills
• Availability to work in a specified time zone or working schedule, accommodating the business needs of our clients and team members
• Availability for on-call hours, including evenings, weekends, and holidays, to promptly address emergent issues or provide necessary support as dictated by operational demands (if applicable)

Responsibilities

• Optimize ongoing short, mid, and long-range forecasts of trends, revenue, and expenses for Abarca and clients
• Lead benchmarking projects for key clients
• Develop actuarial work products that inform business decision making such as: financial impact modeling for changes in risk, utilization management, and trend as well as forecast trend using typical market indicators and Abarca innovative solutions
• Create models that showcase Abarca’s value proposition
• Assist in modeling the impact of new regulations and quality measures (i.e. STARs)
• Develop other financial models for critical priorities as needed
• Support development of analytic tools to empower the underwriting team, drug trend development, and other internal and external clients

Preferred Qualifications

• Fellow or Associate in the Society of Actuaries (FSA or ASA)
• Experience with Commercial, Medicare, and Medicaid revenue methodologies, APMs and Value-Based Care contracts
• Experience with Medicare Advantage and Part D bidding trend, forecasting analytics and creating value proposition models

Benefits

Flexible hybrid work model which will require certain on-site work days (Puerto Rico Location Only)