Senior Actuarial Support Analyst
Core
Design and maintain complex financial models to evaluate cost-saving initiatives and analyze prior authorization & claims trends to enhance efficiency in the prior authorization process.
Role type
Senior Actuarial Support Analyst (Healthcare Analytics)
Builds
Cost savings models, executive reports, and strategic insights for prior authorization optimization.
Domain
Healthcare Payer / Managed Care / Prior Authorization
Deliverable
production ML models | dashboards & analysis | client delivery
Required skills
Financial modeling, healthcare analytics, data analysis, SQL, Tableau, Power BI, advanced Excel, data cleaning, problem-solving
Preferred skills
R, Python, Scala, AWS (S3, Airflow, Athena, Spark), prior authorization processes, utilization management data
Responsibilities
Design and maintain complex financial models to track and analyze cost-saving initiatives; Perform advanced data analysis to assess prior authorization & claims trends; Lead the design and development of financial models to quantify the impact of proposed cost-saving initiatives; Use statistical and data visualization tools to identify trends, patterns, and anomalies in claims data; Prepare detailed and executive-level reports and presentations; Act as a trusted advisor to leadership and key internal & external stakeholders; Work closely with clinical and customer success teams to understand authorization challenges; Lead post-implementation assessments to measure the impact of cost-saving initiatives.
Seniority
Senior, hands-on IC
