Overview
This role supports value-based initiatives within the HealthCare Economics team, partnering with actuarial, finance, analytics, and business teams to develop actionable financial insights and forecasting solutions.
The position plays a key part in designing and developing a holistic modeling solution, including building new methodologies and frameworks to support performance measurement, financial reconciliation, and strategic decision-making across multiple value-based care programs. Work assignments vary and often require interpreting complex business issues, applying independent judgment, and recommending and executing appropriate courses of action with limited guidance.
Responsibilities
- Analyze and forecast claims and revenue trends
- Develop innovative forecasting methodologies
- Translate complex business requirements into scalable analytical solutions
- Independently evaluate data, identify gaps, and propose holistic approaches
- Build end-to-end solutions integrating financial, operational, and claims-based insights
- Design forecasting methodologies and establish reporting metrics
- Validate model results and support the evolution of value-based care analytics
- Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas
- Make decisions regarding own work methods, including occasionally in ambiguous situations
Requirements
- Bachelor’s Degree
- Successful completion of at least 3 actuarial exams
- Demonstrated ability to articulate ideas effectively in both written and oral forms
Preferred Qualifications
- Experience with programming languages, including SAS, Databricks, SQL, and VBA
- Experience building reports in Excel and Power BI
- Ability to make recommendations regarding actuarial methodologies
- Willingness to create and explore ideas to reach new solutions
Compensation & Benefits
- Pay range: $80,900 - $110,300 per year
- Eligible for a bonus incentive plan (opportunity based on company and/or individual performance)
- Benefits include medical, dental, and vision; 401(k) retirement savings plan; time off (including paid time off, company and personal holidays, paid parental and caregiver leave); short-term and long-term disability; life insurance; and other opportunities
Location
- Remote position
- Work at home requirements:
- Minimum internet speeds: 25 Mbps download and 10 Mbps upload
- Wireless, wired cable, or DSL connection is suggested
- In certain roles, the minimum recommended internet speed required may not be sufficient for business needs; the employer reserves the right to require an upgrade if necessary
- Work from a dedicated space with no ongoing interruptions to protect member PHI/HIPAA information
- Travel: While remote, occasional travel to company offices for training or meetings may be required
Additional Information
- Scheduled weekly hours: 40
- Application deadline: 11-01-2026
Equal Opportunity Employer
An equal opportunity employer, with policies covering non-discrimination and affirmative action in accordance with applicable laws.