Senior Actuary (AI)

TL;DR

Senior Actuary (AI): Building actuarial models, risk analyses, and economic frameworks to demonstrate the clinical and financial value of the AI platform to health plans and managed care organizations with an accent on healthcare economics, data science, and business strategy. Focus on translating complex claims and utilization data into insights that shape pricing, contracts, and ROI for payor customers.

Location: Expected to be in our Palo Alto office five days a week.

Company

hirify.global is the leading generative AI company in healthcare with the only system that can have safe, autonomous, clinical conversations with patients.

What you will do

• Build and maintain actuarial models to quantify the clinical and financial impact of hirify.global’s platform for payor partners.
• Develop pricing frameworks and risk-sharing models for payor contracts.
• Analyze medical and pharmacy claims data, utilization trends, and population health metrics to support business development conversations and contract negotiations.
• Create financial projections and scenario analyses that inform go-to-market strategy for Medicare Advantage, Medicaid managed care, and commercial payor segments.
• Partner closely with Business Development, Product, Clinical, and Finance teams to translate actuarial insights into compelling payor-facing materials, proposals, and case studies.
• Monitor post-implementation outcomes and perform experience studies to validate model assumptions and demonstrate ongoing value to payor customers.

Requirements

• Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or a related quantitative discipline from an accredited institution.
• Fellow of the Society of Actuaries (FSA) designation.
• 10+ years of actuarial experience in health insurance, managed care, or healthcare consulting.
• Deep expertise in medical/pharmacy claims analysis, rate development, reserving, or risk adjustment (e.g., HCC models).
• Advanced proficiency in SQL, Python, R, or actuarial modeling tools (e.g., GGY AXIS, MG-ALFA, or similar).
• Strong communication skills — ability to translate actuarial concepts for non-technical stakeholders.

Nice to have

• Experience in Medicare Advantage, Medicaid managed care, or ACA marketplace actuarial work.
• Exposure to healthcare AI, digital health, or health technology companies.
• Experience at a startup or high-growth company where you wore multiple hats.

Culture & Benefits

• Reinvent healthcare with AI that puts safety first.
• Work with the people shaping the future.
• Backed by the world’s leading healthcare and AI investors.
• Build alongside the best in healthcare and AI.