Analyst, Healthcare Financial Analytics (Actuarial Track)

The 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.

Position 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 performance

Model and monitor key actuarial analytics including IBNR estimates claims reserves accruals and risk/trend development

Apply working knowledge of healthcare finance fundamentals premium risk adjustment IBNR reserves and accruals to support financial reporting and forecasting

Support analysis across Medicare Fee-for-Service (FFS) Medicare Advantage and value-based care risk models including shared savings and capitated arrangements

Serve as finance support in preparing financial analyses and materials for review by senior financial leadership

Query and work directly with claims and financial data from the database (SQL) to build and validate models and reporting

Partner with senior actuaries at client organizations and senior financial leadership within CHS gaining direct exposure to actuarial and executive-level financial decision-making

Prepare clear well-organized presentations and materials that communicate financial and actuarial findings to non-technical and executive audiences

Identify trends variances and risk factors in claims and financial data and proactively flag issues or opportunities to leadership

Support ad hoc financial and actuarial analysis as business needs evolve

Qualifications:

Bachelors degree required preferably in Actuarial Science Finance Economics Statistics Mathematics or a related quantitative field

Prior healthcare industry experience strongly preferred

Active 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 preferred

Strong understanding of healthcare finance fundamentals: premium risk adjustment IBNR reserves and accruals

Working 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 databases

Strong analytical and financial modeling skills with high attention to accuracy and detail

Strong presentation skills with the ability to translate complex financial/actuarial concepts for senior leadership audiences

Ability to work effectively and independently in a fast-paced deadline-driven environment

Excellent written and verbal communication skills

Proficiency in Microsoft Office suite (Excel PowerPoint Word Outlook)

Benefits:

As a firm passionate about health care were 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. You can learn more about our benefits offerings here: 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. For more information visit

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