4 часа назад
Senior Actuarial Analyst (Healthcare Analytics)
130 000 - 140 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Senior Actuarial Analyst (Healthcare Analytics): Building and maintaining actuarial models and client-facing reporting that quantify outcomes, cost savings, and performance for prior authorization programs with an accent on claims analysis, impact evaluation, and healthcare cost drivers. Focus on designing quasi-experimental assessments, reconciling authorization impact with realized claims, and presenting clear executive-level insights to customers and leadership.
Location: Remote within the United States; occasional travel to Boston, Massachusetts is required for new-hire onboarding, team meetings, and company events.
Salary: $130,000–$140,000 annually, plus benefits and bonus.
Company
develops a clinical intelligence platform and AI-powered healthcare solutions that improve payer-provider decision-making, prior authorization, payment accuracy, and patient outcomes.
What you will do
- Own and maintain client-facing reporting on cost savings, outcomes, and performance across prior authorization programs and specialty areas.
- Build, maintain, quality-control, and scale actuarial models and methodologies for new clients and lines of business.
- Analyze authorization and claims data to identify trends, cost drivers, utilization effects, and opportunities to improve customer value.
- Design impact evaluations and post-implementation assessments using cohorts, benchmarks, pre/post analysis, difference-in-differences, quasi-experimental methods, and sensitivity analyses.
- Reconcile authorization-based impact with realized claims and explain month-over-month and quarter-over-quarter changes.
- Present executive-level findings to customers and leadership while documenting assumptions, methodologies, mappings, and code for reproducible and auditable work.
Requirements
- 5+ years of experience in actuarial work or healthcare analytics across payer, provider, managed care, or consulting environments.
- Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Biostatistics, Economics, or a related quantitative field, plus at least two completed SOA exams.
- Experience developing, maintaining, and delivering client-facing reports and models measuring impact, savings, and performance.
- Proficiency with SQL, Excel, a visualization tool such as Tableau, and an analytics language such as Python, R, or SAS.
- Working knowledge of healthcare cost drivers and medical claims or authorization data, with strong analytical and communication skills.
- Ability to present findings to external customers and internal leadership and explain assumptions, drivers, and implications.
Nice to have
- Experience with prior authorization or utilization management workflows, data, and performance metrics.
- Familiarity with AWS S3, Athena, Spark, Airflow, or similar healthcare analytics and cloud tooling.
- Advanced quantitative degree, ASA credential, or experience presenting savings and impact results directly to external clients.
Culture & Benefits
- Fully remote work with approximately 5% travel.
- Medical, dental, vision, life, disability insurance, Employee Assistance Program, FSA, and HSA.
- 401(k) retirement plan with company match.
- 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.
- Hiring manager, team, cross-functional, and executive interviews.
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