[Remote] Senior Actuarial Analyst (Actuarial Finance / Value-Based Care)

Note: The job is a remote job and is open to candidates in USA. HarmonyCares is hiring a Senior Actuarial Analyst to support its Actuarial Finance function. The role focuses on accurate recognition and forecasting of Value-Based Care performance, interpreting performance drivers, and translating complex analytics into financial and operational insights for leadership.

Responsibilities

• Support Actuarial Finance in the analysis, forecasting, and recognition of VBC Membership, Revenue, and Medical Expense, including assessment of trend drivers, utilization dynamics, and emerging risks
• Design, build, and maintain actuarial and financial models supporting trend projections, forecasting, VBC performance tracking, and risk arrangement evaluation
• Translate complex modeling results and data analyses into clear, decision ready outputs, including executive level summaries, financial commentary, and performance narratives
• Collaborate with actuarial, finance, clinical, and strategy teams to ensure analytical findings are aligned with business context and operational realities
• Lead or contribute to the development of data tools that stratify large datasets across financial, utilization, quality, and outcomes dimensions
• Communicate findings succinctly and effectively to a range of stakeholders, adjusting technical depth and framing based on audience needs
• Develop repeatable, automated analytical workflows, leveraging scripting, templated models, and AI assisted tools where appropriate, to improve accuracy, timeliness, and scalability
• Identify opportunities to improve existing processes through automation, standardization, or AI assisted augmentation, while maintaining transparency, controls, and appropriate documentation
• Establish trusted performance narratives used in senior leadership decision-making
• Reduce cycle time and manual effort for recurring VBC performance analyses through process improvement and automation
• Employees will be required to perform other job-related assignments as requested

Skills

• Bachelor's degree in actuarial science, Mathematics, Statistics, or a related quantitative field
• 5+ years of experience in an actuarial, analytical, or finance role within a team-based environment
• 5+ years of experience in managed care, healthcare, or a related regulated industry
• Strong analytical and modeling skills using Excel or comparable modeling tools
• Strong data analysis skills using SQL, SAS, R, Python or comparable tools
• Demonstrated experience automating recurring analytical work, models, or reporting processes
• Ability to synthesize quantitative results into clear written and verbal explanations for non-technical audiences
• Ability to work independently in a dynamic, evolving, and sometimes ambiguous environment
• Sound professional judgment, intellectual curiosity, and comfort questioning results, assumptions, and outputs
• Strong communication skills, including the confidence to surface risks, limitations, and uncertainties
• Demonstrated ability to apply AI responsibly, with attention to data quality, bias, reproducibility, and professional standards
• Comfort preparing executive level summaries that clearly distinguish modeled results, interpretation, and judgment
• Experience supporting Value Based Care, ACOs, MA, MSSP, or other risk-based reimbursement models
• Practical experience using AI enabled tools to support analysis, interpretation, documentation, or narrative development, with appropriate validation and oversight
• ASA or higher actuarial credential

Benefits

• Health, Dental, Vision, Disability & Life Insurance, and much more
• 401K Retirement Plan (with company match)
• Tuition, Professional License and Certification Reimbursement
• Paid Time Off, Holidays and Volunteer Time
• Paid Orientation and Training
• Remote work arrangement

Company Overview