Hiring: Sr Actuarial Analyst Value Based Care Company: PeaceHealth Location: Vancouver, WA Job Posted Time: 2026-09-15 07:38:56 Employment Type: Full-time / Remote Target Skills & Keywords : HIPAA, Python, SOA, SQL About the job Experience: •Minimum of 5 years Required: Advanced SQL and Python skills, including querying enrollment, provider, medical and pharmacy claims and experience with risk score calculations •Required: Proficiency in value-based care analytics topics such as Medicare/Medicaid programs, Medicare Advantage, CMS CMMI, ACO REACH, Medicare Shared Savings Program (MSSP), Advanced Payment Models, the NPPES NPI registry and VBC modeling Required Skills: •Develops analytic models independently utilizing member claims, financial and clinical data to effectively answer strategic questions that drive the formation of initiatives and improvement of clinical outcomes and total cost of care. •Leverages methodologies to quantify various impacts on spend such as health cost waste opportunities, care management return on investment, clinical quality or HEDIS metric impacts, behavioral health opportunities, pharmacy opportunities, and the like. •Performs data mining and analysis that impacts benefit design, care delivery, and population health strategy •Executes ad hoc analysis prioritized by VBC program leaders using SQL and/or Python programming •Develops analytic methods to monitor and improve performance risks associated with value-based arrangements including but not limited to MSSP, ACO REACH, ACO LEAD, TEAM, CJRX, AHEAD, ACCESS and Medicare Advantage. •Prepares annual revenue and claims forecasts, summary exhibits, and payer-specific utilization data for monitoring, improvement, and negotiations •Calculates and validates revenue and HCC risk scores; support associated forecasting and reconciliation processes •Drafts written reports and excel or PowerPoint based exhibits Qualifications: •Bachelor's Degree Required: Math or •Bachelor's Degree Required: Finance or •Bachelor's Degree Required: Statistics Actuarial Science or Related field or equivalent combination of education and experience and •Required: Actuarial exam track with two or more actuarial exams passed on the Society of Actuaries exam pathway toward Associateship (ASA) or Fellowship (FSA) designation and •Master's Degree Preferred: or Master’s or PhD in related fields, CPA, MBA, Associate of the Society of Actuaries (SOA) designation such as ASA or FSA •Preferred: EPIC Certification EPIC Cogito Compensation: •Flexible work environment (work from home / hybrid options) Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!