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Senior Actuarial Analyst

2 weeks, 6 days ago
United States
Full-time
Senior
Data Analyst
Data Science and Analytics
Python R SQL
Apply Now
Innovaccer

Innovaccer

Innovaccer is a top data platform for value-based care, providing unified patient data solutions to revolutionize healthcare outcomes worldwide.

IT Services
1K-5K
Founded 2014
$379M raised
View All Jobs 20

Description

  • Conduct medical cost analyses, including trend studies, utilization benchmarking, and high-cost claimant impact assessments.
  • Develop and maintain actuarial rate models for commercial, Medicare, and/or Medicaid populations.
  • Support rate development and rate review processes, including actuarial memoranda and regulatory filings.
  • Support financial forecasting and budget development for health plan and provider organization clients.
  • Build and document actuarial models to evaluate value-based care contract performance, including shared savings and risk-sharing arrangements.
  • Analyze population health data to identify cost drivers and opportunities for clinical and financial intervention.
  • Access and analyze CMS Medicare claims data through the CCW Virtual Research Data Center as applicable to client engagements.
  • Prepare client deliverables such as actuarial exhibits, trend analyses, and executive summaries.
  • Collaborate with data science and product teams to support analytics-driven consulting solutions.
  • Provide technical mentorship and peer review for junior actuarial staff.

Requirements

  • Pursuing ASA designation through the SOA pathway, with at least 4 SOA exams completed; ASA preferred.
  • 3–6 years of actuarial experience in healthcare, insurance, or a related field.
  • Proficiency with SQL and at least one statistical or programming language such as SAS, R, or Python.
  • Experience with healthcare claims data, PMPM analysis, and financial modeling.
  • Ability to manage multiple projects and deliver high-quality work on deadline.
  • Strong analytical, problem-solving, and written communication skills.
  • ASA designation preferred.
  • Experience with rate development or rate review in healthcare, including preparation of actuarial memoranda, preferred.
  • Experience across multiple lines of healthcare business such as commercial, Medicare, and Medicaid, preferred.
  • Knowledge of risk adjustment methodologies and value-based care contracting models, preferred.
  • Experience with CCW VRDC data access and CMS Medicare claims data analysis, preferred.
  • Healthcare consulting or managed care actuarial background, preferred.
  • Exposure to healthcare data and analytics platforms, preferred.

Benefits

  • 22 days of fixed time off per year plus company holidays.
  • Best-in-class parental leave.
  • Monetary incentives and company-wide recognition for impact and dedication.
  • Medical, dental, and vision insurance.
  • 100% company-paid short- and long-term disability insurance.
  • 100% company-paid basic life insurance.
  • Optional discounted legal aid and pet insurance.

Interested in this position?

Apply directly on the company website

Apply Now

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