Senior Actuary
Core
Conduct analysis, pricing, and risk assessment to estimate financial outcomes while supporting the Risk Adjustment team through data analytics, risk adjustment modeling, and complex data validation initiatives.
Role type
Senior Actuary (Risk Adjustment & Data Analytics)
Builds
Risk adjustment models, probability tables, and financial outcome estimates for insurance benefits
Domain
Healthcare insurance / Actuarial science / Data analytics
Deliverable
production ML models | dashboards & analysis
Required skills
Actuarial analysis, risk assessment, data validation, SQL, statistical modeling, probability tables, financial calculation, process automation
Preferred skills
Healthcare actuarial experience, Medicaid experience, SAS, Snowflake, large-scale data analysis, coding
Technologies
SQL, SAS, Snowflake, CDPS+RX
Responsibilities
Run and analyze market-level results using risk adjustment models, act as point of contact for assigned markets, apply mathematics and statistics to calculate financial outcomes, develop probability tables, determine equitable basis for distributing money for insurance benefits
Seniority
Senior, hands-on IC