Job Application for Senior Actuarial Analyst at Abarca Health

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

As our Senior Actuarial Analyst you’ll combine analytical skillset and programming skills to drive the development of analytics tools that provide financial insights and strategic problem solving for internal and external clients. You’ll be part of the team that develops pivotal financial models that explain anomalies in historical spend, predict future trends, estimates the financial impact of formulary and benefit strategies, and provides analytic support for new and existing products that drive value. We’ll need you to find efficiencies in our systems by leveraging data science techniques. You’ll also work with pharmacy and medical data to ensure transparent and flexible value propositions and solutions.

The fundamentals for the job…

Optimize ongoing short, mid, and long-range forecasts of trends, revenue, and expenses for Abarca and clients.
Lead benchmarking projects for key clients.
Develop actuarial work products that inform business decision making such as: financial impact modeling for changes in risk, utilization management, and trend as well as forecast trend using typical market indicators and Abarca innovative solutions.
Create models that showcase Abarca’s value proposition.
Assist in modeling the impact of new regulations and quality measures (i.e. STARs)
Develop other financial models for critical priorities as needed.
Support development of analytic tools to empower the underwriting team, drug trend development, and other internal and external clients.

What you’re made of

The bold requirements…

Bachelor's Degree in Statistics, Computer Science, Mathematics, Social Science, Economics, Finance, or a related field (or 2+ years equivalent experience in health insurance or PBM setting)
6+ years healthcare actuarial experience or equivalent healthcare analytics role utilizing claims data.
Experience using statistical programming languages. Examples include SAS, VBA, SQL, Python, and R.
Experience applying project management skills in data-related and financial analysis projects.
Experience driving and taking ownership of creating cost savings and ROI models.
Excellent oral and written communication skills
We are proud to offer a flexible hybrid work model which will require certain on-site work days (Puerto Rico Location Only)
This position requires availability to work in a specified time zone or working schedule, accommodating the business needs of our clients and team members.
This position may require availability for on-call hours, including evenings, weekends, and holidays, to promptly address emergent issues or provide necessary support as dictated by operational demands (if applicable).

Nice to have…

Fellow or Associate in the Society of Actuaries (FSA or ASA)
Experience with Commercial, Medicare, and Medicaid revenue methodologies, APMs and Value-Based Care contracts.
Experience with Medicare Advantage and Part D bidding trend, forecasting analytics and creating value proposition models.

Physical requirements…

Must be able to access and navigate each department at the organization’s facilities.
Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify. Abarca Health LLC does not sponsor employment visas at this time.

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-MH1 #LI-REMOTE

First Name

Last Name

Phone

Location (City)

Resume/CV*

Accepted file types: pdf, doc, docx, txt, rtf

Cover Letter

Accepted file types: pdf, doc, docx, txt, rtf

School

Select...

Degree

Select...

Start date month

Select...

Start date year

End date month

Select...

End date year

Have you previously been employed by Abarca Health? If yes, please provide your dates of employment and the position(s) held.

Do you currently have a non-compete agreement that could restrict your ability to work with Abarca Health in the role for which you are applying? If applicable, please provide additional details, such as its scope and duration

If you were referred to this role, please provide the name of the Abarca Health employee who referred you.

Please share a link to your LinkedIn profile. This helps us better understand your professional background.

Are you legally authorized to work in the United States without the need for current or future employment sponsorship?

Select...

By submitting this application, I confirm that I am the individual applying for this role at Abarca Health and that all information I provide, including my responses and application materials, are accurate and submitted by me personally.

Select...

By participating in the interview process, I acknowledge that providing false information, misrepresenting myself, or allowing someone else to represent me will result in disqualification from the interview and future employment considerations. This includes using technology or other means to impersonate someone or misrepresent my qualifications or identity. Abarca Health upholds the integrity of its hiring process and reserves the right to take appropriate action if dishonesty is discovered, including reporting the issue to the relevant authorities.

Select...

This role requires Health plan or PBM experience. Do you have Health plan or PBM experience?

Select...

U.S. Standard Demographic Questions

We invite applicants to share their demographic background. If you choose to complete this survey, your responses may be used to identify areas of improvement in our hiring process.

How would you describe your gender identity? (mark all that apply)

Select...

How would you describe your racial/ethnic background? (mark all that apply)

Select...

How would you describe your sexual orientation? (mark all that apply)

Select...

Do you identify as transgender?

Select...

Do you have a disability or chronic condition (physical, visual, auditory, cognitive, mental, emotional, or other) that substantially limits one or more of your major life activities, including mobility, communication (seeing, hearing, speaking), and learning?

Select...

Are you a veteran or active member of the United States Armed Forces?

Select...

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in Abarca Health’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

Gender

Select...

Are you Hispanic/Latino?

Select...

Race & Ethnicity Definitions

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Veteran Status

Select...

Voluntary Self-Identification of Disability

Form CC-305

Page 1 of 1

OMB Control Number 1250-0005

Expires 04/30/2026

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

Alcohol or other substance use disorder (not currently using drugs illegally)
Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
Blind or low vision
Cancer (past or present)
Cardiovascular or heart disease
Celiac disease
Cerebral palsy
Deaf or serious difficulty hearing
Diabetes
Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
Epilepsy or other seizure disorder
Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
Intellectual or developmental disability
Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
Missing limbs or partially missing limbs
Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
Partial or complete paralysis (any cause)
Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
Short stature (dwarfism)
Traumatic brain injury

Disability Status

Select...

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

Senior Actuarial Analyst

Apply for this job

U.S. Standard Demographic Questions

Voluntary Self-Identification

Voluntary Self-Identification of Disability