Overview
This role supports informed pricing, underwriting, and risk management decisions by analyzing healthcare and insurance data. Responsibilities focus on assessing product performance, evaluating financial risk, improving profitability, and informing strategic business growth.
Responsibilities
- Develop, maintain, and enhance pricing models for healthcare and insurance product evaluations, renewals, and portfolio management.
- Analyze claims experience, utilization patterns, enrollment trends, demographics, and financial performance to inform pricing and business decisions.
- Evaluate pricing assumptions and identify opportunities to improve profitability, performance, and risk outcomes.
- Support underwriting reviews and risk assessment activities with data-driven analysis and recommendations.
- Build recurring and ad hoc reports, dashboards, and performance metrics to deliver actionable business insights.
- Conduct financial modeling, trend analysis, and risk evaluations to support strategic planning initiatives.
- Use advanced analytical tools and strong Excel capabilities to transform complex datasets into usable insights.
- Partner with Finance, Operations, and Leadership teams to support decision-making and business performance objectives.
- Contribute to process improvement and automation initiatives to improve efficiency, reporting accuracy, and scalability.
Requirements
- Bachelor’s degree in Finance, Economics, Mathematics, Statistics, Business, Healthcare Administration, Data Analytics, Actuarial Science, or a related field.
- 4–5+ years of experience in healthcare analytics, pricing, underwriting, risk management, financial analysis, or a related quantitative discipline.
- Strong analytical, critical thinking, and problem-solving skills.
- Advanced Microsoft Excel skills, including Pivot Tables, XLOOKUP/VLOOKUP, Power Query, complex formulas, and financial modeling.
- Experience working with large datasets and translating findings into meaningful business insights.
- Strong communication and presentation skills, including the ability to explain complex analyses to diverse audiences.
- Ability to manage multiple priorities and collaborate effectively across teams.
Preferred Qualifications
- Knowledge of healthcare economics, claims analytics, healthcare reimbursement, and risk assessment methodologies.
- Experience with SQL, Power BI, Tableau, Salesforce, or similar analytical and reporting tools.
- Experience supporting pricing, underwriting, or actuarial functions.
- Experience developing dashboards, performance metrics, and business intelligence reporting.
- Knowledge of healthcare insurance products, portfolio analysis, and financial forecasting.
- Experience identifying and implementing process improvement or automation opportunities.
Compensation & Benefits
- Salary range: $60,000–$80,000.
- Actual compensation is based on experience, skills, education, work location, and internal equity.
- May be eligible for incentive compensation.
- Comprehensive benefits include:
- Health insurance (medical, dental, and vision)
- Life and disability coverage
- 401(k) program
- Employee stock purchase plan
- Flexible spending accounts and health savings accounts
- Paid time off and company holidays
- Paid parental leave
- Mental health resources
- Tuition reimbursement
- Financial planning resources
- Professional development opportunities
Equal Opportunity Employer
The employer is an Equal Opportunity Employer and complies with all applicable laws. Qualified applicants receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other protected characteristic.