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Role Summary

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HIGHLIGHTS

Senior health actuary role leading ACA Risk Adjustment analytics and forecasting for individual and small group markets. You will own risk score modeling, transfer payment projections, competitive benchmarking, and communicate impacts to finance and product teams. Role is hybrid based near Minnetonka, MN with occasional work from Madison, WI; Omaha, NE; or St. Louis, MO offices.

JOB DESCRIPTION SUMMARY

  • Lead ACA Risk Adjustment projection models and risk score forecasts
  • Analyze HCC drivers, population morbidity, and transfer payment estimates
  • Build dashboards and executive summaries to influence pricing and strategy
  • Hybrid role – onsite average 3 days per week (Minnetonka, MN preferred)
  • Requires ASA or FSA with senior actuarial experience in ACA

DOMAIN EXPERTISE

  • ACA Risk Adjustment analytics
  • ACA individual and small group pricing or forecasting
  • Working with large complex datasets using SQL or SAS
  • Understanding of ACA market dynamics and regulatory updates

KEY REQUIREMENTS

  • ASA or FSA designation required
  • Minimum 5 years (FSA) or 10 years (ASA) of actuarial experience
  • At least 2 years working directly with ACA Risk Adjustment or ACA pricing
  • Strong proficiency with SQL or SAS and large complex datasets
  • Deep knowledge of ACA market dynamics and regulatory environment

TECH STACK

  • Snowflake
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Role Summary

Loading...

HIGHLIGHTS

Senior health actuary role leading ACA Risk Adjustment analytics and forecasting for individual and small group markets. You will own risk score modeling, transfer payment projections, competitive benchmarking, and communicate impacts to finance and product teams. Role is hybrid based near Minnetonka, MN with occasional work from Madison, WI; Omaha, NE; or St. Louis, MO offices.

JOB DESCRIPTION SUMMARY

  • Lead ACA Risk Adjustment projection models and risk score forecasts
  • Analyze HCC drivers, population morbidity, and transfer payment estimates
  • Build dashboards and executive summaries to influence pricing and strategy
  • Hybrid role – onsite average 3 days per week (Minnetonka, MN preferred)
  • Requires ASA or FSA with senior actuarial experience in ACA

DOMAIN EXPERTISE

  • ACA Risk Adjustment analytics
  • ACA individual and small group pricing or forecasting
  • Working with large complex datasets using SQL or SAS
  • Understanding of ACA market dynamics and regulatory updates

KEY REQUIREMENTS

  • ASA or FSA designation required
  • Minimum 5 years (FSA) or 10 years (ASA) of actuarial experience
  • At least 2 years working directly with ACA Risk Adjustment or ACA pricing
  • Strong proficiency with SQL or SAS and large complex datasets
  • Deep knowledge of ACA market dynamics and regulatory environment

TECH STACK

  • Snowflake

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Job Overview

Salary
$100k - $172k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a Senior health actuary (ASA or FSA) with ACA individual and small group risk adjustment experience, strong SQL/SAS skills, and the ability to translate risk score models into strategic pricing and product recommendations.

ASAFSA

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanVolunteering ProgramHybrid WorkGenerous Vacation
Active Screening
Standard Review
5d
5 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

Job Overview

Salary
$100k - $172k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a Senior health actuary (ASA or FSA) with ACA individual and small group risk adjustment experience, strong SQL/SAS skills, and the ability to translate risk score models into strategic pricing and product recommendations.

ASAFSA

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanVolunteering ProgramHybrid WorkGenerous Vacation
Active Screening
Standard Review
5d
5 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

Health/Insurer/IC Level
Medica

Actuary

Medica•Minnetonka, United States•5d ago
HybridIndividual HealthCommercial Employer HealthPredictive Modelling & MLBusiness Intelligence & ReportingRegulatory Reporting