Actuarial Analyst

Who we are
At Bon Secours Mercy Health Global Business Services – Manila, we believe your best is yet to come. Based in the Philippines, we partner with U.S.-based teams to deliver strategic insights, operational excellence and specialized expertise that advance our Mission. Join a global team focused on meaningful healthcare impact.

Job Summary
The Actuarial Analyst is responsible for delivering financial analysis, contract performance insights and modeling support for value-based payment arrangements. This role drives data-informed decision making by supporting payer negotiations, forecasting contract performance and validating reimbursement outcomes.

Operating within a Global Business Services environment, this role supports cross-functional collaboration, operational excellence and service delivery outcomes across U.S. healthcare managed care functions.

What you'll do

• Analyze reimbursement, financial impact and performance data to support managed care contract negotiations and payer strategy
• Support the design and evaluation of value-based payment models including shared savings, quality metrics and risk corridors
• Provide real-time analytical insights and recommendations during payer negotiations and escalation discussions
• Monitor contract performance and identify underpayments, compliance gaps, negative payment trends and financial risks
• Develop monthly financial forecasts and reporting packages including reconciliation summaries and variance analysis
• Conduct quarterly and annual reconciliation audits to validate payer compliance with contract terms
• Synthesize payer data, market trends and industry insights to support negotiation strategies and enterprise decisions
• Produce recurring performance reports on value-based programs to support budgeting, tracking and opportunity identification
• Perform ad hoc analyses to support initiatives, process improvements and scenario planning for new contract terms
• Collaborate with managed care, finance, legal and operational teams to interpret payer policies and contract requirements
• Build and maintain dashboards and reports using data visualization tools to communicate insights clearly

What you bring

Experience

• 3 years of experience in managed care analytics, healthcare finance, payer analytics, medical economics or healthcare consulting required
• Experience supporting value-based contract development including performance measurement, attribution metrics and reconciliation processes required
• Experience in forecasting, variance analysis and reimbursement modeling required
• Experience developing Tableau reports required
• Experience working with cross-functional stakeholders in managed care, finance and compliance preferred

Education

• Bachelor’s degree in Information Systems, Business Administration, Finance, Accounting, Healthcare Administration, Economics, Analytics or a related field required
• Master’s degree in Business Administration, Healthcare Administration, Public Health, Finance or related field preferred

Certifications

• Certified Healthcare Financial Professional (CHFP) – Healthcare Financial Management Association preferred
• Certified Professional in Healthcare Quality (CPHQ) – National Association for Healthcare Quality preferred

Skills and Knowledge

• Knowledge of managed care contract structures and value-based payment models required
• Advanced financial modeling, forecasting and variance analysis skills using Microsoft Excel required
• Strong SQL skills with experience analyzing large healthcare datasets required
• Knowledge of reimbursement methodologies and contract interpretation required
• Experience developing reconciliation methodologies and validating payment settlements preferred
• Familiarity with data visualization tools such as Power BI or Tableau required
• Strong analytical, communication and problem-solving skills required
• Ability to translate complex data into actionable insights for non-technical stakeholders required
• High attention to detail and ability to manage multiple priorities independently required
• Knowledge of data privacy and compliance standards in healthcare required

What we offer

• Comprehensive HMO medical coverage, retirement plan and group life and accident insurance
• One-time Work From Home allowance, connectivity allowance and wellness allowance
• Paid vacation and sick leave
• Government-mandated benefits: SSS, PhilHealth and Pag-IBIG contributions
• Flexible working model based on role and business need
• Mission-driven culture events, outreach and service opportunities
• Learning and development programs, mentorship and career growth pathways
• Collaborative office spaces and engagement activities

Benefits may vary based on employment terms and role.