Senior Actuarial Support Analyst

Overview

The organization is seeking a detail-oriented Senior Actuarial Support Analyst to join the Actuarial team. This role focuses on evaluating cost-saving initiatives that improve the efficiency and effectiveness of the prior authorization process. The position is remote-first and project-based, with evolving needs.

This role may require travel to Boston, MA for new hire onboarding and occasional in-person team meetings and company events.

Responsibilities

• Design and maintain complex financial models to track and analyze cost-saving initiatives, providing regular updates and insights to senior leadership and stakeholders.
• Perform advanced data analysis to assess prior authorization and claims trends, decision patterns, and cost drivers.
• Lead the design and development of financial models to quantify the impact of proposed cost-saving initiatives and forecast cost reduction outcomes for business cases.
• Use statistical and data visualization tools to identify trends, patterns, and anomalies in claims data that may indicate areas for improvement related to savings.
• Prepare detailed and executive-level reports and presentations summarizing cost-saving achievements, project performance, and future cost-saving potential.
• Serve as a trusted advisor to leadership and key internal and external stakeholders, providing strategic insights, recommendations, and guidance on cost-saving strategies.
• Collaborate with clinical and customer success teams to understand authorization challenges, provide analytical insights, and offer actionable recommendations to resolve issues.
• Lead post-implementation assessments to measure the impact of cost-saving initiatives and support continuous refinement and long-term sustainability of improvements.

Requirements

• 5 years of experience in healthcare analytics, cost containment, or similar roles in the healthcare industry, preferably within a payer, provider, or managed care setting.
• Proficiency in data analytics and visualization tools, such as SQL, Tableau, Power BI, and advanced Excel.
• Strong understanding of healthcare cost drivers and medical claims data.
• Demonstrated experience in data cleaning and data analysis/problem-solving.
• Ability to translate complex data into actionable insights and clear, concise reports.

Preferred Qualifications

• Familiarity with prior authorization and utilization management processes.
• Proficiency in R, SQL, Python, Scala, and AWS (S3, Airflow, Athena, Spark).
• Experience with prior authorization and utilization management data.

Compensation & Benefits

• Salary range: $105,000 to $115,000 annually.
• Benefits package includes health insurance, 401(k), and bonus.
• Medical, dental, vision, life, and disability insurance, and an Employee Assistance Program.
• 401(k) retirement plan with company match; flexible spending and health savings account.
• Flex Time Off plus company holidays.
• Up to 14 weeks of paid parental leave.
• Pet insurance.

Location

• Fully remote opportunity.
• About 5% travel.
• Travel to Boston, MA may be required for new hire onboarding and occasional in-person team meetings and company events.

Interview Process

• Preliminary phone screening with Talent Acquisition
• Meeting with Hiring Manager
• Team interview
• Cross-functional interview
• Executive interview
• Subject to change