Senior Actuarial Analyst

🕒 May 5

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Equality Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

☁️ SaaS

⚕️ Healthcare Insurance

💰 Private equity on 2022-01

Healthcare • SaaS • Healthcare Insurance

Equality Health is simplifying value-based care and building pathways to better health outcomes for Medicaid and historically under-resourced communities. The company integrates data-driven technology (CareEmpower®), skilled practice coaching, and patient engagement to support providers, health plans, and members. Equality Health focuses on enabling equitable, value-based care through software, practice transformation, and partnerships with payers and providers to improve individual and population health outcomes.

📋 Description

• Develop and enhance actuarial and health economic models to quantify program impact on cost, utilization, and quality outcomes. • Own monitoring and evaluation of payer/provider-group performance across financial (MLR/MCR, PMPM) and operational/utilization metrics. • Translate performance results into actionable insights and recommendations to improve value-based contract outcomes. • Support payer reporting and partner discussions with clear, defensible financial analyses. • Leverage and integrate multiple data sources (claims, eligibility, pharmacy, EMR, quality, care management) to produce comprehensive analyses. • Identify key cost drivers, population health trends, and intervention opportunities, particularly within Medicaid populations. • Investigate and resolve complex data anomalies; establish best practices for data validation and reliability. • Translate analytical findings into executive-ready insights and narratives for internal and external stakeholders. • Continuously improve processes for scalability, automation, and reproducibility of analyses.

🎯 Requirements

• Bachelor’s degree in Mathematics, Statistics, Actuarial Science, Economics, or related field (or equivalent experience). • Progress toward ASA • 3-5+ years of healthcare analytics or actuarial experience. • Strong experience with Medicaid data, including claims, encounters, eligibility, and capitation structures. • Demonstrated experience in ROI analysis, health economics, or program evaluation. • Advanced proficiency in SQL and Excel; experience with Python, R, or SAS preferred. • Strong understanding of healthcare financial metrics (PMPM, MLR/MCR, risk scores) and utilization drivers. • Experience working in value-based care or risk-based contracting environments. • Strong communication skills with ability to present complex analyses to diverse audiences. • Experience with causal inference or quasi-experimental methods (e.g., difference-in-differences, matching). • Familiarity with Medicaid rate setting, risk adjustment models (e.g., CDPS), and regulatory environment. • Demonstrated ability to manage multiple projects and operate independently in fast-paced environments. • Strong systems thinking with ability to connect clinical programs to financial outcomes.

🏖️ Benefits

• Equality Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.