Actuary - Primary Care Organization (Healthcare)

TL;DR

Actuary - Primary Care Organization (Healthcare): Analyzing and forecasting healthcare financial data, medical claims trends, and actuarial metrics to support strategic decisions in a primary care organization with an accent on data integrity, financial modeling, and business intelligence. Focus on evaluating claims drivers, developing forecasting and control processes, solving complex data quality issues, and advising executives on long-term financial and competitive strategies.

Location: Remote anywhere in the USA; occasional travel to hirify.global offices for training or meetings may be required.

Salary: $129,300–$177,800 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a healthcare corporation whose CenterWell business provides integrated, senior-focused primary care and related health services.

What you will do

• Analyze medical claims trends and identify drivers affecting utilization, costs, financial performance, and business outcomes.
• Develop and execute data integrity, accuracy, and consistency controls for actuarial analysis and reporting.
• Forecast financial, economic, and business data to support strategic and operational planning.
• Apply actuarial models and industry knowledge to assess short-, medium-, and long-term financial and competitive positions.
• Present actuarial findings, assumptions, metrics, and recommendations to business stakeholders, leaders, and executives.
• Troubleshoot data anomalies, perform root cause analyses, and recommend cost-effective solutions.

Requirements

• Must be located in the USA and able to work remotely from a dedicated, interruption-free home workspace.
• Bachelor’s degree from an accredited university in the USA.
• Membership in the American Academy of Actuaries (MAAA).
• FSA, or ASA plus experience in Medicaid, Medicare Advantage, or commercial insurance.
• Experience across more than three actuarial functions, such as modeling, pricing, rate filing, reporting, reserving, or trending.
• Strong actuarial analysis, complex data interpretation, and stakeholder presentation skills.

Nice to have

• Master’s degree and healthcare actuarial experience.
• Experience with SAS, SQL, Snowflake, or comparable analytics and reporting tools.
• Experience with medical claims trend analysis, forecasting, business intelligence, or financial analysis in managed care.
• Experience documenting actuarial communications in accordance with ASOP 41.

Culture & Benefits

• Full-time schedule of 40 hours per week during typical Monday–Friday business hours.
• Medical, dental, and vision coverage, 401(k), paid time off, holidays, parental and caregiver leave, disability coverage, and life insurance.
• Home internet must provide at least 25 Mbps download and 10 Mbps upload; satellite and wireless service is not allowed.
• A dedicated workspace is required to protect member PHI and HIPAA information.
• Visa sponsorship is not available for this role.

Hiring process

• Applicants who pass the initial screening may complete a 10–15 minute on-demand HireVue assessment.
• Selected candidates proceed to subsequent interviews.
• Formal employment offers require SSN entry in Workday for duplicate-profile screening.