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Role Summary

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HIGHLIGHTS

Senior health actuarial analyst role on the Risk Adjustment Retrospective Analytics team in Oakland, CA. Focus on chart-review targeting for Medicare Advantage and ACA programs, predictive analytics, financial impact quantification, reserves and data submission. Requires actuarial analytics experience and strong programming skills (R/Python/SQL/SAS).

JOB DESCRIPTION SUMMARY

  • Develop chart-review targeting lists for Medicare Advantage and ACA programs
  • Build predictive models and deploy ML techniques to improve risk prediction
  • Quantify financial impact and support reserve and trend analysis
  • Hybrid role based in Oakland, CA with periodic office attendance
  • Requires 6+ years' actuarial experience; ASA preferred

DOMAIN EXPERTISE

  • healthcare enrollment and claims processing
  • revenue and expense accounting in finance
  • risk adjustment retrospective analytics and chart review targeting

KEY REQUIREMENTS

  • At least 6 years of professional actuarial experience
  • Bachelor's degree (math/statistics/CS minor or equivalent)
  • Proficiency with R, Python, SQL, SAS and MS Excel/PowerPoint
  • Healthcare enrollment and claims processing experience required
  • Strong communication skills to present technical material to executives

TECH STACK

  • Excel
  • PowerPoint
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Role Summary

Loading...

HIGHLIGHTS

Senior health actuarial analyst role on the Risk Adjustment Retrospective Analytics team in Oakland, CA. Focus on chart-review targeting for Medicare Advantage and ACA programs, predictive analytics, financial impact quantification, reserves and data submission. Requires actuarial analytics experience and strong programming skills (R/Python/SQL/SAS).

JOB DESCRIPTION SUMMARY

  • Develop chart-review targeting lists for Medicare Advantage and ACA programs
  • Build predictive models and deploy ML techniques to improve risk prediction
  • Quantify financial impact and support reserve and trend analysis
  • Hybrid role based in Oakland, CA with periodic office attendance
  • Requires 6+ years' actuarial experience; ASA preferred

DOMAIN EXPERTISE

  • healthcare enrollment and claims processing
  • revenue and expense accounting in finance
  • risk adjustment retrospective analytics and chart review targeting

KEY REQUIREMENTS

  • At least 6 years of professional actuarial experience
  • Bachelor's degree (math/statistics/CS minor or equivalent)
  • Proficiency with R, Python, SQL, SAS and MS Excel/PowerPoint
  • Healthcare enrollment and claims processing experience required
  • Strong communication skills to present technical material to executives

TECH STACK

  • Excel
  • PowerPoint

Job Overview

Salary
$119k - $179k
Years of Experience
6+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health actuary with 6+ years in Medicare Advantage/ACA risk adjustment, near-ASA or ASA level, strong in predictive modelling and forecasting using Python/R and SQL.

Benefits

Hybrid Work
Shortlist Forming
Closing Soon
55d
55 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
$119k - $179k
Years of Experience
6+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health actuary with 6+ years in Medicare Advantage/ACA risk adjustment, near-ASA or ASA level, strong in predictive modelling and forecasting using Python/R and SQL.

Benefits

Hybrid Work
Shortlist Forming
Closing Soon
55d
55 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

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