Job Description
📋 Description The Senior Actuary, Health Plan Analytics will be responsible for developing actuarial models Build and maintain member-level actuarial models focused on risk adjustment performance, HCC Develop analytics supporting pricing strategies, Medicare Advantage bids, ACA rate filings Reconcile risk adjustment calculations using key healthcare data sources and extend analytical Partner with data engineering and product teams to design actuarial methodologies and translate Create forecasting and accrual models supporting financial planning, settlement estimates, transfer 🎯 Requirements 7+ years of actuarial or actuarial-adjacent analytics experience in health plan pricing, risk Proven experience modeling performance across multiple healthcare markets, including at least three Strong understanding of CMS-HCC and ACA risk models, RAF calculations, ICD-10 diagnosis coding, and Experience building member-level data models that support reporting, analytics platforms, or Proficiency in SQL and experience with statistical or scripting languages such as SAS, R, or Python. Familiarity with healthcare data sources including MMR, MOR, MAO-004, Beneficiary-Level files 🎁 Benefits Competitive salary range of $150,000 – $185,000, depending on experience, skills, and location. Medical, dental, and vision insurance coverage. 401(k) retirement plan with employer matching contributions. Generous paid time off (PTO) program. Fully remote work opportunity. Opportunity to work on impactful healthcare analytics initiatives using modern technology and
