Senior Manager, APM Modeling & Analytics

Arcadia is dedicated to happier, healthier days for all. We believe that there is a better healthcare world – one powered by data. Our platform transforms complex, diverse data into a unified foundation for health, helping organizations deliver better care, boost revenue, and lower costs.

We’re a team of fiercely driven individuals committed to making healthcare more sustainable—and we’re looking for passionate people to help us get there.

For more information, visit arcadia.io

Why This Role Is Important to Arcadia

Arcadia is expanding its leadership in advanced alternative payment models (APMs), including CMS’ newly announced LEAD Model and other value-based initiatives. This role will report directly to the Chief Actuary, and serve as the enterprise owner of APM solutions, ensuring technical rigor and financial accuracy across our most strategic engagements.

You will not simply advise on strategy — you will own the math.

This includes full accountability for:

CMS APM (e.g., LEAD, TEAM, ACCESS, MSSP) solution development and implementation

CMS data (e.g., VRDC, CCLF, BCDA) ingestion and execution

Independent validation and quality controls

This role requires deep understanding of CMS and other VBC models, expertise working with CMS data (e.g., VRDC, CCLF, BCDA), strong coding skills (e.g., SAS, Python, SQL), exceptional attention to detail in building and validating complex financial models at scale, and leadership in establishing and enforcing validation and quality assurance controls.

What Success Looks Like

In 3 months

Develop deep working knowledge of CMS LEAD model methodology and financial mechanics

Contribute to Arcadia’s market communications on the CMS LEAD model (e.g., whitepaper, customer discussions)

Gain hands-on access to VRDC data sources and Arcadia’s data ingestion processes

Understand existing Arcadia APM calculation logic and identify improvement opportunities

Establish coding standards and validation protocols for actuarial model governance

In 6 months

Develop CMS LEAD model financial calculations and underwriting framework in collaboration with actuaries

Fully own other existing Arcadia CMS APM solutions (e.g., MSSP)

Serve as the internal subject matter expert for CMS APM financial modeling

Build reproducible, well-documented SAS and Python pipelines for:

Customer data ingestion

Benchmark construction

Risk score development and normalization

Trend and PMPM projections

Savings/loss simulations

Implement multi-layer QA processes and reconciliation procedures

In 12 months