Overview
This role supports actionable actuarial insight for partners, helping inform decisions that improve affordability, quality, and patient outcomes—particularly within specialty care programs. The position involves developing essential actuarial tools, performing rigorous analyses, and providing trusted guidance to leadership.
Responsibilities
- Develop and maintain medical expense and revenue budgets and forecasts for the specialty risk business
- Prepare clear exhibits and communicate actuarial findings and recommendations to technical and non-technical audiences
- Perform ad hoc analyses to answer business questions from executive leadership and partners
- Manage multiple projects at different stages, ensuring deliverables support strategic objectives and remain on schedule
- Identify opportunities to improve financial performance through data-driven insights
- Build actuarial models from scratch for use across multiple teams and projects
- Streamline processes to improve efficiency and reliability of key deliverables
- Review work of junior analysts
Requirements (Required)
- Bachelor’s degree in Actuarial Science, Math, Economics or related field
- Candidates must be on the Actuarial exam track, having passed a minimum of four actuarial exams
- Two or more years of experience in a health actuarial setting
- Strong technical skills in Microsoft Excel, SQL, and VBA
Preferred Qualifications
- Experience with financial forecasting and trend analysis
- Familiarity with Power Query and Power BI
- Experience building actuarial models or analytical tools from scratch
- Experience using AI-enabled tools, including Microsoft Copilot
Technical Requirements
- High speed internet over 10 Mbps at home
- For all call center employees: ability to plug in directly to the home internet router
Identity Verification, Background Check, and Interview Requirements
- Submission of a government issued photo ID
- Identity verification during interviews; final interviews may require onsite attendance
- Comprehensive background check
- In-person I-9 verification
- Subject to drug screening prior to employment
- Use of artificial intelligence tools during interviews is prohibited and monitored; misrepresentation will result in immediate disqualification from consideration
Compensation & Benefits
- Expected base salary/wage range: $ (not specified)
- Comprehensive benefits, including health insurance benefits, for qualifying employees
- Compensation is determined based on the skills and experience required for the position and is commensurate with experience of selected individuals, which may vary above and below stated amounts
Location