Risk Solutions Actuarial Associate

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $125k - $150k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Actuary

👻 Ghost score 8%

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Logo of XO Health Inc.

XO Health Inc.

11 - 50 employees

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

XO Health Inc. is a company that provides comprehensive, tech-enabled health benefit solutions specifically designed for the self-insured market. Their services cater to self-insured employers, brokers and consultants, and third-party administrators, aiming to unify the healthcare experience. XO Health offers a value-based provider network, member advocacy and care navigation, integrated medical and pharmacy plans, and employer stop-loss coverage. Their solutions are focused on balancing cost and quality, providing flexible and tailored healthcare solutions for employers.

📋 Description

• Support and develop actuarial modeling behind XO’s risk-sharing and value-aligned models, including provider performance pricing and evaluation, employer pricing, and financial insight into risk-based contracts • Manage XO Health’s stop-loss and reinsurance strategy, including product design for small and mid-market employers, provider risk strategies, pricing input, partner management, and performance tracking • Support RFPs and maintain relationships with MGUs, captives, and carriers to help external partners evaluate and price XO’s model • Advance XO’s high-cost claim strategy through analytics and interventions spanning clinical, financial, and contractual levers • Support reporting and communications on financial performance, risk solutions, pricing strategy, and model assumptions for internal and external stakeholders, including the executive team and advisory and corporate boards • Own end-to-end execution of cross-functional initiatives across analytics, finance, commercial, clinical, and provider strategy teams to build scalable, tech-enabled pricing and risk capabilities

🎯 Requirements

• 2+ years of experience in healthcare analytics, actuarial modeling, pricing, or financial strategy in a payer, MGU, stop-loss carrier, or provider setting • Within two years of achieving ASA credentials (required) • Strong command of healthcare data, including claims, episodes, actuarial values, and stop-loss policies • Knowledge of value-based care economics • Ability to build models, synthesize information, and communicate results to diverse audiences • Proficiency in Excel • Experience with SQL is a plus • Comfort with ambiguity and fast-paced, startup-style environments • Ability to lead cross-functional projects with minimal oversight • Mission-driven mindset and excitement to make healthcare smarter and more sustainable

🏖️ Benefits

• Actuarial Study Program sponsored by XO Health • Coverage of costs for achieving actuarial credentials

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