Analyst, Actuarial

TITLE:   Actuarial Analyst, Underwriting 

REPORTS TO POSITION: VP, Actuarial 

TEAM: Actuarial and Underwriting 

JOB LOCATION: Remote; preference given to Nashville  

STATUS (Remote, Hybrid, On-site): Remote or Hybrid if Nashville
SPAN OF CONTROL (# Direct Reports or Individual Contributor (“IC”)): IC 

SCOPE OF RESPONSIBILITIES (Company/Division/Functional/Regional): Company 

FLSA STATUS: Exempt  

Description 

The healthcare system isn’t designed for health. We’re designed to change that.  We’re Wellvana, and we help doctors deliver life-changing healthcare.   

Through our elevated value-based care programs, we’re revitalizing an antiquated system that’s far too long relied on misaligned incentives that reward quantity of care not the quality of it.  

Our enlightened approach—covering everything from care coordination to clinical documentation education to marketing— ties the healthy outcomes of patients directly to shared savings for primary care providers, health systems and payors.   

Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. Patients, in turn, get an elevated experience with coordinated care between appointments that is nothing short of life changing.  

Named 2024 "Best in Business" and 2023 "Best Place to Work" by Nashville Business Journal, we’re one of the fastest-growing healthcare companies in America because what we do works. This is the way medicine is meant to be.  

Clarity on the Role: 

Acting as a critical bridge between data and strategy, the Actuarial Analyst, Underwriting drives enterprise value by aligning sophisticated modeling with Wellvana’s broader business objectives. In this pivotal role, you will direct the day-to-day activities of the underwriting function, working in close coordination with the Vice President, Actuary to ensure technical excellence and operational consistency. This position offers high-level visibility, requiring direct partnership with the Chief Actuarial Officer and regular engagement with C-Suite Leadership refine underwriting governance and strategy. Success is rooted in deep cross-functional collaboration, as you will facilitate forums with Finance, Strategy, and Growth teams to synchronize business needs and ensure enterprise-wide alignment. From owning model assumptions to spearheading AI innovation for enhanced decision support, you will serve as a technical mentor to internal stakeholders, identifying the essential process and tooling improvements needed to scale our underwriting capabilities. 

What's Expected: 

• Support underwriting analyses for potential and existing clients participating in CMS ACO models and/or Medicare Advantage contracts.  Major focus on the Medicare Shared Savings Program (MSSP) 
• Collaborate with actuarial, underwriting, growth, finance, partner success, operations and clinical stakeholders to understand data, modeling and business needs for underwriting and financial modeling 
• Participate in the design and be the primary owner for the build out of financial modeling and underwriting tools needed based on stakeholder requirements 
• Coordinate with Finance and Analytics to ensure financial modeling and underwriting tools align with critical processes 
• Support financial modeling and underwriting assumption-setting decisions with actuarial leadership by completing analyses, developing sensitivity scenarios and documenting processes and decisions 
• Manage assumptions for financial modeling and underwriting tools across current and prospective clients 
• Respond to ad hoc underwriting and actuarial analysis requests 
• Participate in validation and performance monitoring of financial modeling and underwriting tools  
• Identify opportunities to improve financial and underwriting methodologies, processes, and analytical efficiencies 
• Develop material and lead education sessions on underwriting processes and projections for key internal and external stakeholders 
• Identify key barriers and recommend investments to improve overall underwriting process 

 What’s Required: 

• Integrity: The right way is the only way.  
• Dependability: You do what you say you’re going to do.  
• Advocacy: You fight for the best possible outcome for providers and their patients.  
• Clarity: You make it all understandable.  

Education:  

• Bachelor’s Degree  
• Actuarial Student; ASA or FSA preferred  

Years of Related Experience: 

• 3-6 years of actuarial experience with 3+ years healthcare preferred 

Skills/Competencies/Behaviors: 

• Strong analytical and problem-solving skills 
• Proficiency in Excel; SQL, Python, or R preferred 
• Ability to work with large datasets and perform data validation 
• Clear written and verbal communication skills 
• Strong attention to detail and documentation 
• Ability to manage multiple priorities in a collaborative environment