Actuary – Value-Based Care (Healthcare)

Location: Fully remote within the continental United States; listed remote locations are U.S. states and Washington, D.C.

Pay range: $107,700.00–$199,300.00 per year.

Company

hirify.global connects people with healthcare and works to make healthcare more accessible and effective.

What you will do

• Develop financial models assessing risk and opportunity in value-based care arrangements, including shared savings and risk, capitation, bundled payments, and specialty carve-outs.
• Analyze claims and vendor performance data to establish baselines, measure results, identify trends, and evaluate savings opportunities.
• Provide actuarial and analytical expertise during external vendor negotiations, including financial terms, risk structures, and methodologies.
• Communicate complex findings and recommendations to technical and non-technical audiences, including leadership.
• Partner with Medicare/Marketplace, Medicaid, and internal teams to align strategy and assess policy and program impacts.
• Identify contract and performance issues, develop analytical approaches, research business opportunities, and drive solutions.

Requirements

• 5+ years of actuarial experience with ASA certification, or 4+ years of actuarial experience with FSA certification.
• Bachelor's degree in a related field or equivalent experience.
• Experience with vendor arrangements, healthcare claims and revenue data, and trend analysis.
• Knowledge of mathematics, probability, statistics, finance, and business principles.
• Ability to analyze financial outcomes and communicate findings to technical and non-technical audiences.

Nice to have

• Member of the American Academy of Actuaries (MAAA).
• Experience with Excel, SQL, Teradata, and Snowflake.
• Strategic thinking and experience presenting work to leadership.

Culture & Benefits

• Full-time role with varied work across lines of business and new analytical challenges.
• Flexible remote, hybrid, field, or office work schedules are supported; this role is specified as remote within the continental U.S.
• Health insurance, 401(k), stock purchase plans, tuition reimbursement, paid time off, and holidays.
• Equal opportunity employment with consideration for qualified applicants regardless of protected characteristics.