Senior Actuarial Analyst
Core
Own models and core reporting that quantify customer outcomes, impact, and cost savings for prior authorization programs.
Role type
Senior Actuarial Analyst (Healthcare Analytics)
Builds
Client-facing reporting and actuarial models measuring cost savings and performance for prior authorization programs.
Domain
Healthcare / Prior Authorization / Utilization Management
Deliverable
production ML models | dashboards & analysis
Required skills
Actuarial modeling, SQL, Python/R/SAS, Tableau, healthcare claims/authorization data analysis, impact evaluation design, executive presentation
Preferred skills
Prior authorization workflow expertise, AWS cloud tooling (S3/Athena/Spark/Airflow), ASA credential, Advanced degree
Technologies
SQL, Excel, Tableau, Python, R, SAS, AWS S3, Athena, Spark, Airflow
Responsibilities
Maintain client-facing reporting on cost savings and program performance; Build and QC actuarial models; Analyze authorization and claims data to identify trends and drivers; Design and run impact evaluations (pre/post, difference-in-differences); Reconcile authorization impact against realized claims; Present executive-level insights to external customers and internal leadership; Partner with clinical and customer success teams to align metrics.
Seniority
Senior, hands-on IC
