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4 часа назад

Senior Actuarial Analyst (Healthcare Analytics)

130 000 - 140 000$
Формат работы
remote (только USA)
Тип работы
fulltime
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 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

hirify.global 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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