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Role Summary

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HIGHLIGHTS

Senior health actuarial analyst focused on Medicare risk adjustment, pricing/financial analysis, and executive reporting. You will produce risk-adjustment estimates, develop risk score reporting, support forecasts/filings, and partner with operational teams across the organization. Role based in the United States, requiring strong data management and Power BI experience.

JOB DESCRIPTION SUMMARY

  • Lead Medicare risk adjustment estimates and risk score reporting
  • Perform pricing/financial analysis to support payer/provider negotiations
  • Build reports and dashboards with Power BI and Cozeva
  • Manage large healthcare datasets and communicate results to leadership
  • Mentor and peer-review junior actuarial analysts

DOMAIN EXPERTISE

  • Medicare risk adjustment
  • risk score reporting and analysis
  • financial modeling for payer and provider negotiations
  • experience with managed care systems (Epic, Cerner, GE Centricity)

KEY REQUIREMENTS

  • 5+ years working with data and actuarial models
  • Expertise in Medicare risk adjustment estimates and reporting
  • Experience with managed care applications (GE Centricity, Epic, Cerner)
  • 5+ years in financial modeling for payer/provider negotiations
  • Bachelor's degree in a quantitative discipline required

TECH STACK

  • Power_BI
  • Other_BI_Tool
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Role Summary

Loading...

HIGHLIGHTS

Senior health actuarial analyst focused on Medicare risk adjustment, pricing/financial analysis, and executive reporting. You will produce risk-adjustment estimates, develop risk score reporting, support forecasts/filings, and partner with operational teams across the organization. Role based in the United States, requiring strong data management and Power BI experience.

JOB DESCRIPTION SUMMARY

  • Lead Medicare risk adjustment estimates and risk score reporting
  • Perform pricing/financial analysis to support payer/provider negotiations
  • Build reports and dashboards with Power BI and Cozeva
  • Manage large healthcare datasets and communicate results to leadership
  • Mentor and peer-review junior actuarial analysts

DOMAIN EXPERTISE

  • Medicare risk adjustment
  • risk score reporting and analysis
  • financial modeling for payer and provider negotiations
  • experience with managed care systems (Epic, Cerner, GE Centricity)

KEY REQUIREMENTS

  • 5+ years working with data and actuarial models
  • Expertise in Medicare risk adjustment estimates and reporting
  • Experience with managed care applications (GE Centricity, Epic, Cerner)
  • 5+ years in financial modeling for payer/provider negotiations
  • Bachelor's degree in a quantitative discipline required

TECH STACK

  • Power_BI
  • Other_BI_Tool

Job Overview

Salary
$89k - $107k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health actuary with 5+ years focused on Medicare risk adjustment who is strong in data management, Power BI reporting, and financial modeling for payer/provider negotiations.

Benefits

Shortlist Forming
Closing Soon
228d
228 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
$89k - $107k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health actuary with 5+ years focused on Medicare risk adjustment who is strong in data management, Power BI reporting, and financial modeling for payer/provider negotiations.

Benefits

Shortlist Forming
Closing Soon
228d
228 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."

Actuarial Analyst III

Altais, Inc.

Health/Other/IC Level
Altais, Inc.

Actuarial Analyst III

Altais, Inc.
United States•7mo ago
Medicare Advantage

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