Associate Actuary (Medtech)

TL;DR

Associate Actuary (Healthcare Analytics): Developing financial forecasting models and analyzing value-based reimbursement strategies for a tech-enabled pediatric medical group with an accent on Medicaid reimbursement and shared-savings arrangements. Focus on optimizing revenue/risk score trends, analyzing profitability by acuity, and demonstrating clinical value to payor clients.

Location: Remote (United States)

Salary: $110,000 - $135,000

Company

hirify.global is a tech-enabled, pediatrician-led medical group providing virtual-first and in-home care for children with special healthcare needs.

What you will do

• Develop tools and internal capabilities to measure the performance of value-based and shared-savings arrangements.
• Create cost and revenue forecasting models using Medicaid reimbursement and healthcare claims data.
• Analyze profitability based on duration, acuity, and resource allocation to inform senior leadership.
• Collaborate with Healthcare Economics and Business Development teams to evaluate new opportunities and report risk score and utilization trends.
• Monitor performance against forecasts and analyze drivers of variances in revenue, cost, and membership.

Requirements

• Must be based in the United States
• ASA or FSA designation from the Society of Actuaries.
• Bachelor’s degree and minimum of 3 years of actuarial experience in healthcare, managed care, or consulting.
• Proficiency in SQL and/or SAS.
• Strong communication skills with the ability to simplify complex technical concepts.

Nice to have

• Medicaid managed care rate development or rate advocacy experience.
• Experience with value-based reimbursement strategies and affordability initiatives.
• Prior project management experience.

Culture & Benefits

• Competitive base salary plus annual bonus and eligibility for an employee equity purchase program.
• 401(k) with 4% match, vested 100% from day one.
• Comprehensive medical, dental, and vision insurance with Company-funded HSA and Dependent Care FSA.
• 20 days PTO, 10 Company Holidays, and 2 Floating Holidays.
• Paid new parent leave and employer-paid short/long-term disability and life insurance.