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athenahealth

Manager, Actuarial Analytics

athenahealth

Manager of Actuarial Analytics developing healthcare utilization forecasts for athenahealth. Collaborating with FP&A team to support revenue projections and ensure financial planning rigor.

Posted 4/24/2026full-timeBoston • Maine, Massachusetts, Texas • 🇺🇸 United StatesMid-LevelSenior💰 $114,000 - $194,000 per yearWebsite

Tech Stack

Tools & technologies
SQLTableau

About the role

Key responsibilities & impact
  • 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

Requirements

What you’ll need
  • Bachelor’s degree in Actuarial Science, Statistics, Mathematics, or related field
  • Associate or Fellow of the Society of Actuaries (ASA or FSA)
  • 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; experience with data visualization platforms (e.g., Power BI, Tableau) preferred
  • 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
  • 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

Comp & perks
  • Health insurance
  • Retirement plans
  • Paid time off
  • Flexible work arrangements
  • Professional development opportunities
  • Bonuses

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
actuarial modelingforecastingutilization analysisfinancial modelingdata analysispredictive analyticsalgorithm developmentExcelSQLSAS
Soft Skills
communication skillscollaborationproblem-solvingintellectual curiositypresentation skillsleadershipadaptabilityanalytical thinkingcreativityteamwork
Certifications
Bachelor’s degree in Actuarial ScienceBachelor’s degree in StatisticsBachelor’s degree in MathematicsAssociate of the Society of Actuaries (ASA)Fellow of the Society of Actuaries (FSA)