Closer to a data-science crossover role than a standard pricing or reserving seat because scalable datasets, dashboards, automation, and cloud tools are central to the analytical work.
Senior Health actuarial consultant role supporting Commercial Employer Health analytics for Surest and UnitedHealthcare. You’ll analyze claims, provider, network, utilization, and financial data; build actuarial models and reporting; and turn findings into recommendations for actuarial, network, product, finance, and business partners. The role can be remote within the U.S., with New York preferred on a hybrid schedule.
Requirements
Must have
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 working with healthcare claims, medical cost, provider, network, utilization, pricing, reserving, risk adjustment, or related health insurance analytics
Intermediate or higher proficiency with Excel and at least one programming/querying environment such as SQL, Python, R, SAS, or similar
Ability to explain complex analytical findings clearly to business partners
Demonstrated attention to detail, ownership, and ability to manage multiple priorities
Strongly preferred
ASA or FSA
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 analyticsProvider evaluation and network analytics
Actuarial Consultant, Surest / UHC Provider & Network Analytics - Remote (New York, NY preferred)