Senior Actuarial Analyst, Client Actuarial

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🔥 1 hour ago

🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟠 Senior

📊 Actuary

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Monogram Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2019

⚕️ Healthcare Insurance

🤝 B2B

👥 B2C

Healthcare Insurance • B2B • B2C

Monogram Health is a leading multispecialty provider that delivers in-home, evidence-based care and benefit management for patients with complex, multiple chronic conditions, with a strong focus on chronic kidney disease and related metabolic, cardiovascular, pulmonary, and behavioral health needs. The company coordinates multispecialty clinical teams (nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care), provides 24/7 home-based support including home dialysis and medication management, and partners with payers and physician groups to improve outcomes, reduce hospitalizations, and lower costs.

📋 Description

• Apply actuarial principles to analyze healthcare claims data and identify key cost and utilization trends • Develop, maintain, and enhance actuarial projection models to support financial forecasting • Analyze and reconcile actuarial inputs and outputs to ensure accuracy and consistency • Maintain IBNR and other forecasting models to support performance monitoring • Partner with internal and external actuaries, including support for quarterly revenue reconciliation • Work within Databricks and SQL environments to extract, prepare, and structure data for actuarial analysis • Identify meaningful trend drivers and connect findings to financial outcomes • Present models, analyses, and insights during internal and client-facing meetings • Support opportunity analyses for prospective clients and growth opportunities within existing accounts • Collaborate cross-functionally to support contract performance and compliance requirements

🎯 Requirements

• Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or a related field • Successful completion of at least four (4) actuarial exams • Minimum of three (3) years of actuarial experience in the healthcare or managed care industry • Knowledge of healthcare claims, utilization trends, and/or managed care environments • Advanced proficiency in Microsoft Excel for modeling and data analysis • Proficiency in SQL and experience working with large enterprise data warehouses • Experience building, modifying, and optimizing data tables and datasets • Intermediate to advanced Power BI skills • Analytical thinking and ability to translate data into clear, actionable insights • Excellent communication skills with the ability to explain complex concepts to non-technical audiences • Demonstrates an entrepreneurial mindset with the ability to take initiative, operate independently, and effectively manage priorities in a fast-paced, ambiguous environment • Experience with Python or R preferred • Experience in Commercial, Medicaid and Medicare analysis preferred • Experience with CMS shared savings programs preferred

🏖️ Benefits

• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts • Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources • Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave • Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts