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16 часов назад

Senior Actuarial Support Analyst (Healthcare Analytics)

105 000 - 115 000$
Формат работы
remote (только USA)
Тип работы
project
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Senior Actuarial Support Analyst (Healthcare Analytics): Developing and maintaining complex financial models to evaluate cost-saving initiatives in prior authorization and claims with an accent on healthcare analytics, medical cost drivers, and executive reporting. Focus on quantifying cost-reduction outcomes, identifying trends and anomalies in claims data, and measuring post-implementation impact.

Location: United States; fully remote with about 5% travel, including possible travel to Boston, MA for onboarding and occasional in-person meetings and company events

Salary: $105,000–$115,000 annually, plus benefits and bonus

Company

hirify.global develops a clinical intelligence platform and AI-powered solutions that improve payer-provider decision-making, prior authorization, payment accuracy, and healthcare outcomes.

What you will do

  • Design, maintain, and lead complex financial models for cost-saving initiatives and business cases.
  • Analyze prior authorization and claims trends, decision patterns, cost drivers, and potential savings opportunities.
  • Use statistical and data visualization tools to identify trends, patterns, and anomalies in claims data.
  • Prepare executive-level reports and presentations on savings achievements, project performance, and future opportunities.
  • Advise leadership and internal and external stakeholders on cost-saving strategies and actionable recommendations.
  • Collaborate with clinical and customer success teams and lead post-implementation assessments to measure and refine results.

Requirements

  • At least 5 years of experience in healthcare analytics, cost containment, or a similar healthcare role, preferably with a payer, provider, or managed care organization.
  • Proficiency with data analytics and visualization tools such as SQL, Tableau, Power BI, and advanced Excel.
  • Strong understanding of healthcare cost drivers and medical claims data.
  • Experience with data cleaning, data analysis, and data-driven problem-solving.
  • Ability to transform complex data into actionable insights and clear, concise reports.

Nice to have

  • Familiarity with prior authorization and utilization management processes.
  • Proficiency in R, Python, Scala, AWS S3, Airflow, Athena, or Spark.
  • Experience working with prior authorization and utilization management data.

Culture & Benefits

  • Fully remote work with approximately 5% travel and occasional in-person company events.
  • Medical, dental, vision, life, disability insurance, and an Employee Assistance Program.
  • 401(k) retirement plan with company match, flexible spending account, and health savings account.
  • Flexible time off, company holidays, and up to 14 weeks of paid parental leave.
  • Pet insurance and a supportive, inclusive, growth-oriented work environment.

Hiring process

  • Preliminary phone screening with Talent Acquisition.
  • Interview with the hiring manager, followed by a team interview.
  • Cross-functional and executive interviews.

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