Sr. Associate Actuary - Healthcare

Overview

This role supports the Actuarial Services team within the Health practice, providing actuarial and financial consulting services to government agencies, health plans, and other public-sector clients.

Responsibilities

• Lead complex actuarial and financial consulting engagements for government agencies, health plans, and public-sector clients.
• Develop actuarial models, financial forecasts, and scenario analyses to evaluate the fiscal impact of policy, programmatic, and benefit design changes.
• Analyze claims, encounter, utilization, cost, and financial data to identify trends, cost drivers, risks, and opportunities for improvement.
• Support Medicaid reimbursement studies, provider rate setting, value-based payment initiatives, and healthcare financing projects.
• Perform actuarial analyses related to employee benefits, reserve adequacy, and healthcare program sustainability.
• Develop actuarially sound rate methodologies and evaluate reimbursement models, including fee-for-service, capitation, bundled payment, and alternative payment arrangements.
• Prepare technical reports, actuarial memoranda, financial projections, and executive-level presentations that communicate complex findings to non-technical audiences.
• Advise clients on regulatory, legislative, and policy developments affecting healthcare financing, employee benefits, and public-sector programs.
• Lead client meetings, support business development efforts, and contribute to proposal development and thought leadership activities.
• Mentor actuarial analysts and consultants by providing technical guidance, quality review, and professional development support.
• Ensure work products comply with applicable actuarial standards of practice (ASOPs), professional guidance, and internal quality assurance processes.

Requirements

• Expert knowledge of actuarial principles, healthcare financing, financial modeling, and statistical analysis.
• Strong experience applying actuarial methods to healthcare, employee benefits, Medicaid, Medicare, or other public-sector programs.
• Ability to lead complex projects with significant independence and exercise sound professional judgment.
• Advanced analytical, problem-solving, and quantitative modeling capabilities.
• Strong written and verbal communication skills, including the ability to translate technical concepts into actionable recommendations.
• Demonstrated leadership, project management, mentoring, and team development skills.
• Proficiency with actuarial modeling, forecasting, and data analysis tools.

Education

• Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Economics, Data Analytics, or a related field required.

Experience

• 5+ years of actuarial or healthcare financial consulting experience.
• Experience supporting public-sector healthcare, employee benefits, Medicaid, Medicare, provider reimbursement, or health plan engagements preferred.

Preferred Qualifications

• Associate or Fellow of the Society of Actuaries (ASA/FSA).

Compensation & Benefits

• Compensation range: $120,000 - $140,000.
• Benefits may include medical and dental care benefits, 401k, PTO, parental leave, and bereavement leave.

Location

• Remote.

Work Authorization

• The employer does not sponsor newly hired foreign national workers for work authorization, including H-1B sponsorship.

Equal Opportunity

• The employer is an Equal Opportunity Employer dedicated to diversity and inclusion and does not discriminate on the basis of any status protected under federal, state, or local law.