Finance- Senior Actuarial Analyst

Job description

Senior Actuarial Analyst Job Summary: The Senior Actuarial Analyst will play a pivotal role in ArchWell Health’s growth and within the Actuarial Department. This Analyst’s contribution will be key to the organization’s collective success. This role will work closely and collaboratively with various departments, providing insights that support strategic business decisions and optimize financial performance. Department Duties/Responsibilities: ◦ Develop and maintain models to forecast risk-adjusted revenue across Medicare Advantage contracts ◦ Analyze historical risk score trends, RAF accuracy, and coding opportunities to identify gaps and performance drivers ◦ Support the annual budget process, quarterly projections, monthly accruals, and variance explanations ◦ Evaluate the impact of HCC model updates and CMS rule changes on organizational revenue ◦ Perform Ad-hoc Revenue Analysis to evaluate financial impacts of operational initiatives, clinical programs, membership shifts, and emergent business questions ◦ Assist in monthly IBNR development and selection process. ◦ Prepare necessary monthly reporting as a key contributor within the monthly closing cycle. ◦ Develop and maintain mo...