Sr. Actuarial Analyst - Risk Adjustment
Core
Support risk adjustment initiatives through data analysis, modeling, actuarial reporting, and data validation to estimate financial outcomes and premium rates.
Role type
Senior Actuarial Analyst (Risk Adjustment)
Builds
Risk adjustment submissions, rate reconciliations, and audit-ready data packages
Domain
Healthcare insurance / Actuarial science
Deliverable
production ML models
Required skills
Actuarial modeling, SQL, data validation, statistical analysis, risk assessment, financial analysis, data manipulation, process automation
Preferred skills
SAS, Snowflake, healthcare data expertise, CDPS+Rx models, coding
Responsibilities
Run and analyze market-level results using risk adjustment models; Act as point of contact for assigned markets; Calculate financial outcomes using mathematics and statistics; Develop probability tables based on statistical data; Analyze and evaluate required premium rates; Develop and run data reports