[Remote] Manager, Actuarial Analytics

Note: The job is a remote job and is open to candidates in USA. athenahealth is focused on creating 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 to forecast healthcare utilization and support revenue projections, delivering actionable insights to leadership.

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 of the Society of Actuaries (ASA) required
• 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
• 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
• FSA preferred
• Experience with data visualization platforms (e.g., Power BI, Tableau) preferred
• Exposure to multiple payer environments, preferred
• Proven ability to integrate actuarial standards with business strategy and operational goals, preferred
• 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, preferred

Benefits

• Short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans
• Health and financial benefits
• Perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces
• Flexibility
• Events throughout the year, including book clubs, external speakers, and hackathons
• Company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued

Company Overview

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