[Remote] Manager, Actuarial Analytics

Note: The job is a remote job and is open to candidates in USA. athenahealth is focused on creating a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. The Manager of Actuarial Analytics will develop and apply advanced actuarial models to forecast healthcare utilization and support revenue projections, delivering actionable insights to leadership.ResponsibilitiesDesign 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 driversQuantify and communicate drivers of variance to financial plans by specialty and payersProject revenue as a function of healthcare utilization, integrating actuarial standards and external trend informationInform quarterly and annual financial forecasts with actuarially sound inputsEvaluate the impact of legislative, regulatory, and market changes on revenue and utilizationConduct studies to identify early signs of adverse trends or opportunities for improvementPresent findings and actionable recommendations to executive leadership and cross-functional teamsLead actuarial analysis of market trends, competitor strategies, and payer landscape changesBuild, improve, and document models used for financial forecastingEnhance predictive analytics and proprietary algorithms to optimize outcomesCollaborate with market leadership, clinical operations, IT, and finance teams to align analytics with business needsSkillsBachelor's degree in Actuarial Science, Statistics, Mathematics, or related fieldAssociate of the Society of Actuaries (ASA) required5+ years of experience in healthcare actuarial roles, with expertise in forecasting, utilization analysis, and financial modelingExperience with government healthcare contracts (Medicare, Medicaid) and commercial payer modelsAdvanced proficiency in Excel, SQL, SAS, and other analytical toolsExcellent verbal and written communication skills, with the ability to present complex analyses to non-technical audiencesAbility to collaborate across functions and work effectively with senior leadership and various business unitsCreative problem-solving skills and intellectual curiosity; ability to thrive in a fast-paced, evolving environmentFSA preferredExperience with data visualization platforms (e.g., Power BI, Tableau) preferredExposure to multiple payer environments, preferredProven ability to integrate actuarial standards with business strategy and operational goals, preferredAbility 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, preferredBenefitsShort and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plansHealth and financial benefitsPerks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspacesFlexibilityEvents throughout the year, including book clubs, external speakers, and hackathonsCompany culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valuedCompany OverviewAthenahealth is a provider of medical practice automation and claims management software to medical groups and health systems. It is a sub-organization of Bain Capital. It was founded in 1997, and is headquartered in Watertown, Massachusetts, USA, with a workforce of 5001-10000 employees. Its website is http://www.athenahealth.com.Company H1B Sponsorshipathenahealth has a track record of offering H1B sponsorships, with 13 in 2026, 93 in 2025, 83 in 2024, 61 in 2023, 108 in 2022, 84 in 2021, 74 in 2020. Please note that this does not guarantee sponsorship for this specific role.