Closer to a data-science crossover role than a traditional pricing partner because scalable data workflows and analytical infrastructure are as important as actuarial judgment.
Associate-level U.S. Health actuarial analytics role supporting Surest and UHC provider, network, and healthcare affordability initiatives. You’ll analyze claims and provider data, build actuarial models and reporting workflows, and translate findings for actuarial, network, product, finance, and business partners. The role is advertised as remote within the U.S., with New York, NY preferred for a hybrid arrangement.
Requirements
Strongly preferred
Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, Data Science, Finance, or related quantitative field
Progress toward obtaining Associate or Fellow of the Society of Actuaries designation
3+ years of actuarial/healthcare analytics experience
Experience with healthcare claims, medical cost, provider, network, utilization, pricing, reserving, risk adjustment, or related health insurance analytics
Solid analytical skills including ability to work with large datasets and evaluate results for reasonableness
Intermediate or higher proficiency in Excel and at least one of SQL, Python, R, SAS
Ability to explain complex analytical findings clearly to business partners
Demonstrated attention to detail, ownership, and ability to manage multiple priorities
Nice to have
ASA or FSA designation
Experience with commercial health insurance, value-based care, provider performance, network analytics, or healthcare affordability programs
Experience with Python, SQL, Spark, Databricks, or cloud-based data environments
Experience developing reproducible analytical workflows, dashboards, or automated reporting tools
Experience communicating results to senior stakeholders or cross-functional leadership
Familiarity with actuarial standards of practice, model governance, peer review, or regulated healthcare analytics
Ability to work across actuarial, analytics, product, network, and operational teams
Skills & Domain
ToolsExcelDatabricks
DomainHealthcare claims and medical cost analysisProvider evaluation and benchmarkingNetwork performance measurementHealthcare affordability programs
Actuarial Consultant, Surest / UHC Provider & Network Analytics - Remote (New York, NY preferred)
