Build, update, and refresh standard reserve models to ensure accurate financial forecasting.
Produce and own the end-to-end production of regular reporting packages, including Primary Care Provider (PCP) insight reports and utilization metrics. Monitor medical cost trends and identify primary drivers to inform strategic interventions.
Assist in shared savings calculations, risk adjustment (HCC) tracking, and benchmark modeling to support our VBC contracts.
Support matched control studies and ROI analyses to evaluate the financial and clinical efficacy of population health and care management initiatives.
Collaborate with the tech team to standardize and automate manual reporting processes, transitioning them into scalable solutions.
Monitor and validate the integrity of the actuarial data pipeline, troubleshooting issues with data engineering partners.
Provide foundational analytical support for ad-hoc assignments across population health, clinical, and finance departments.
Requirements
Bachelor’s degree in actuarial science, Mathematics, Finance, or a related quantitative field.
Completion of 1–3 actuarial exams (SOA or CAS) and actively pursuing credentials.
2–3 years of experience in an actuarial or healthcare economics role.
Deep familiarity with medical claims data, utilization metrics, and population health concepts. Experience with Medicaid is strongly preferred.
Strong proficiency in SQL for data extraction and validation within environments like Snowflake, AWS, or Azure.
Advanced Excel skills; familiarity with Python, R, or SAS for automating workflows.
Experience reporting tools like Sigma, Tableau, or Power BI.