Role Summary

HIGHLIGHTS

Associate-level health actuarial analyst supporting provider contracting and network analytics in Oakland, CA. You will build forecasts, develop reserves, analyze provider reimbursement terms, and deploy predictive models using R/Python/SQL/SAS. Reports to a Senior Manager on the Network and Provider Analytics team in a hybrid work model.

JOB DESCRIPTION SUMMARY

Analyze provider contracts and reprice historical claims to assess financial impact
Develop reserves, trend reporting, and financial forecasting for provider networks
Apply predictive analytics and machine learning using R, Python, SQL, and SAS
Work on the Network and Provider Analytics team in a hybrid Oakland, CA role
Associate-level role requiring at least 2 years of actuarial experience

DOMAIN EXPERTISE

healthcare claims data analysis
provider contracting and reimbursement analysis
pricing and trend analysis
reserving and forecasting
provider network analytics

KEY REQUIREMENTS

Bachelor’s degree (math/statistics/computer science minor preferred) required
At least 2 years of professional actuarial experience
Experience analyzing healthcare claims data, trends, and forecasting
Proficiency in Excel and comfort working with large datasets

TECH STACK

Excel

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Analyze provider contracts and reprice historical claims to assess financial impact
Develop reserves, trend reporting, and financial forecasting for provider networks
Apply predictive analytics and machine learning using R, Python, SQL, and SAS
Work on the Network and Provider Analytics team in a hybrid Oakland, CA role
Associate-level role requiring at least 2 years of actuarial experience