The Role
Build and own actuarial models for forecasting, reserving, shared savings, provider performance, and ACO optimization. Lead actuarial diligence for ACO acquisitions and business development, own financial tracking and reporting for ACO programs, analyze CMS rules, support SOX-compliant audit documentation, and collaborate with Finance, Data, Analytics, Contracting, Medical Economics, and Operations teams.
Summary Generated by Built In
We are seeking an Actuarial Senior Analyst to help run the financial engine behind one of the fastest-moving parts of Astrana's business: our ACO portfolio. Across ACO REACH, MSSP, and the new LEAD model, this role owns the modeling that determines what we project, who we partner with, and what we book. You'll build models from scratch, own program economics end-to-end, and work directly with Finance, Corporate Development, and BD leadership. This role will report to the Senior Manager, Actuary and is open for remote work.
Our Values:
Our Values:
- Put Patients First
- Empower Entrepreneurial Provider and Care Teams
- Operate with Integrity & Excellence
- Be Innovative
- Work As One Team
What You'll Do
- Actuarial Modeling: Build and own actuarial models for forecasting, reserving, shared savings calculations, provider performance analysis, innovative clinical solutions analysis, and ACO performance optimization.
- M&A and Business Development: Lead actuarial diligence on ACO targets, quantifying benchmark and savings impact to support corporate development strategy. Build the analytics used to target and evaluate new provider groups.
- P&L Owner: Own the financial tracking and reporting for the company's ACO programs, owning partial responsibility for a major line of business's P&L at a public company.
- Forefront of VBC: Become an ACO expert with deep working knowledge of all three major national ACO programs (ACO REACH, MSSP, LEAD) at a leading VBC company. Analyze new and proposed CMS rules, develop our strategy around them, and help craft policy positions.
- Audit and Reporting: Maintain, develop, and create ad hoc ACO audit documentation in support of a public company, adhering to SOX compliance standards.
- Cross-Functional Collaboration: Partner across ACO, Analytics, Data, Finance, M&A, Contracting, Medical Economics, and Operations departments to translate actuarial mechanics into decisions the organization can act on.
- Ad Hoc Analysis: Support a fast-growing company with diverse actuarial projects and requests as they arise.
Qualifications
- FSA or ASA credentials or near attainment of ASA credentials.
- 4+ years of experience in actuarial roles.
- 1+ years of experience in VBC or VBC adjacent roles.
- Advanced knowledge of Microsoft Excel.
- Intermediate knowledge of SQL.
- Proficiency and desire to build actuarial models from scratch.
- Comfortable working on a small team in a fast-paced environment.
- Champion of independent critical thinking, unafraid to challenge the status quo and explore innovative solutions.
Preferred Qualifications:
- Understanding of the actuarial continuum (both pricing/forecasting and valuation/reserving).
- Experience working with ACOs.
- Experience producing public financial reports.
- Experience working on the provider side of healthcare.
- Experience with Databricks and/or Power BI.
Environmental Job Requirements and Working Conditions
- This position has the option to be remotely based in the U.S. Conversely, candidates can choose to work in a hybrid fashion and work through the Alhambra, CA, Las Vegas, NV, or Houston, TX Astrana Health offices.
- The hiring manager for this role sits in the Eastern Time Zone, while many of the business partners work on Pacific Time.
- The national target pay range for this role is $100,000 – $135,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
- Astrana Health offers a competitive Actuarial Student Program for any candidate seeking their ASA or FSA credentials.
About
Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient. Our platform currently empowers over 20,000 physicians to provide care for over 1.7 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.
Skills Required
- FSA or ASA credentials, or near attainment of ASA credentials
- 4+ years of experience in actuarial roles
- 1+ years of experience in value-based care or adjacent roles
- Advanced knowledge of Microsoft Excel
- Intermediate knowledge of SQL
- Proficiency and desire to build actuarial models from scratch
- Comfort working on a small team in a fast-paced environment
- Independent critical thinking and willingness to challenge the status quo
- Understanding of the actuarial continuum, including pricing, forecasting, valuation, and reserving
- Experience working with ACOs
- Experience producing public financial reports
- Experience working on the provider side of healthcare
- Experience with Databricks and/or Power BI
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The Company
What We Do
Astrana Health is a physician-centric, technology-powered healthcare company that operates an integrated delivery platform. It enables providers to participate in value-based care arrangements, helping them deliver accessible, high-quality, and cost-effective care to patients. The company provides care coordination services to patients, primary care physicians, specialists, and health plans, leveraging proprietary technology to streamline operations and improve patient outcomes across local communities.
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