About this opportunity
COPE Health Solutions lists this Analyst, Healthcare Financial Analytics (Actuarial Track) opportunity in los angeles, California. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Analyst, Healthcare Financial AnalyticsThe Analyst, Healthcare Financial Analytics functions as a junior actuary embedded within the finance team, responsible for the financial analysis of claims and healthcare data across Accountable Care Organizations (ACOs) and Health Plans. This role builds and maintains key actuarial and financial analytics — including IBNR, reserves, accruals, and risk/trend modeling — and translates complex claims and financial data into clear, decision-ready insights for senior financial leadership. The Analyst will serve as the finance lead on select financial analyses, working directly with database-level claims data and collaborating with senior actuaries at client partners as well as senior financial leadership within CHS.This role is well suited to a candidate with a strong healthcare finance foundation who holds an actuarial designation (ASA or higher) or is actively pursuing one, and who is looking to grow into broader financial leadership responsibilities within a healthcare finance function.FLSA Status - Exempt - Salary Range - $80,600-$102,500Reports To - Assistant Vice President - Direct Reports - NoneLocation - NY or LA Hybrid - Travel - NoneWork Type - Regular - Schedule - Full TimePosition Description:Perform financial analysis of claims and healthcare financial data for ACOs, Risk Bearing Organizations and Health Plans, including trend analysis, reserve adequacy, and risk-adjusted performanceModel and monitor key actuarial analytics, including IBNR estimates, claims reserves, accruals, and risk/trend developmentApply working knowledge of healthcare finance fundamentals — premium, risk adjustment, IBNR, reserves, and accruals — to support financial reporting and forecastingSupport analysis across Medicare Fee-for-Service (FFS), Medicare Advantage, and value-based care risk models, including shared savings and capitated arrangementsServe as finance support in preparing financial analyses and materials for review by senior financial leadershipQuery and work directly with claims and financial data from the database (SQL) to build and validate models and reportingPartner with senior actuaries at client organizations and senior financial leadership within CHS, gaining direct exposure to actuarial and executive-level financial decision-makingPrepare clear, well-organized presentations and materials that communicate financial and actuarial findings to non-technical and executive audiencesIdentify trends, variances, and risk factors in claims and financial data, and proactively flag issues or opportunities to leadershipSupport ad hoc financial and actuarial analysis as business needs evolveQualifications:Bachelor's degree required, preferably in Actuarial Science, Finance, Economics, Statistics, Mathematics, or a related quantitative fieldPrior healthcare industry experience strongly preferredActive actuarial exam progress required; candidates who have attained an actuarial designation (ASA) or who are on track to complete one within the next year are preferredStrong understanding of healthcare finance fundamentals: premium, risk adjustment, IBNR, reserves, and accrualsWorking knowledge of Medicare FFS, Medicare Advantage, and value-based care risk models (e.g., shared savings, capitation)Working proficiency in SQL, with the ability to query and work directly with data from source databasesStrong analytical and financial modeling skills, with high attention to accuracy and detailStrong presentation skills, with the ability to translate complex financial/actuarial concepts for senior leadership audiencesAbility to work effectively and independently in a fast-paced, deadline-driven environmentExcellent written and verbal communication skillsProficiency in Microsoft Office suite (Excel, PowerPoint, Word, Outlook)Benefits:As a firm passionate about health care, we're deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities, and a paid parental leave program.About COPE Health Solutions COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers.
Worksite address
los angeles, CA, 90001, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.