Design and maintain actuarial models to forecast healthcare utilization across the payer landscape (Medicare, Medicaid, Commercial, etc.)
Analyze historical and emerging trends in healthcare delivery, utilization, and cost drivers
Quantify and communicate drivers of variance to financial plans by specialty and payers
Project revenue as a function of healthcare utilization, integrating actuarial standards and external trend information
Inform quarterly and annual financial forecasts with actuarially sound inputs
Evaluate the impact of legislative, regulatory, and market changes on revenue and utilization
Conduct studies to identify early signs of adverse trends or opportunities for improvement
Present findings and actionable recommendations to executive leadership and cross-functional teams
Lead actuarial analysis of market trends, competitor strategies, and payer landscape changes
Build, improve, and document models used for financial forecasting
Enhance predictive analytics and proprietary algorithms to optimize outcomes
Collaborate with market leadership, clinical operations, IT, and finance teams to align analytics with business needs

Bachelor’s degree in Actuarial Science, Statistics, Mathematics, or related field
Associate or Fellow of the Society of Actuaries (ASA or FSA)
5+ years of experience in healthcare actuarial roles, with expertise in forecasting, utilization analysis, and financial modeling
Experience with government healthcare contracts (Medicare, Medicaid) and commercial payer models
Advanced proficiency in Excel, SQL, SAS, and other analytical tools; experience with data visualization platforms (e.g., Power BI, Tableau) preferred
Excellent verbal and written communication skills, with the ability to present complex analyses to non-technical audiences
Ability to collaborate across functions and work effectively with senior leadership and various business units
Creative problem-solving skills and intellectual curiosity; ability to thrive in a fast-paced, evolving environment
Exposure to multiple payer environments, preferred
Proven ability to integrate actuarial standards with business strategy and operational goals, preferred
Ability to leverage AI‑enabled tools, or show a strong eagerness to develop proficiency in them, to improve efficiency, scale insights, and streamline analytical and presentation workflows, preferred

Manager, Actuarial Analytics

Key skills