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Salary
$99k - $124k
Experience
4+ Years

Role Summary

Role type

Data and actuarial analytics crossover

Closer to a data-science crossover than a reserving cycle role, although the ad does not describe ML or dedicated data-engineering ownership.

Senior Health actuarial analytics role supporting Medicare Advantage risk adjustment in Washington, DC. You’ll analyze CMS and medical claims data, reconcile submissions, model financial impacts, and turn findings into recommendations for senior leadership. The role is hybrid and offers a $99,000-$124,000 salary range plus a 10% target bonus.

Requirements

Must have

  • 4+ years of risk adjustment analytics experience
  • 4+ years of experience analyzing MMR, MOR, MAO-004 and medical claims data
  • 3+ actuarial exams passed
  • High degree of proficiency in Microsoft Excel and SQL
  • Bachelor's degree in a quantitative or health-related field (e.g., Economics, Public Health, Statistics, Health Services Research, Math, Finance)
  • No work visa sponsorship available

Nice to have

  • Experience with PBI, Redshift, dbt docs is a plus

Skills & Domain

ToolsExcelPower_BIRedshift
DomainRisk adjustment analyticsAnalyzing CMS data (MMR, MOR, MAO-004)Medical claims data analysis

Job Overview

Salary
$99k - $124k
Experience
4+ Years

Ideal Candidate Profile

Ideal for a senior Health actuarial analyst with 4+ years in Medicare Advantage risk adjustment, three or more exams, and strong Excel and SQL skills. The strongest fit will translate complex data into financial recommendations and manage recurring and ad hoc work with ownership.

Benefits

Hybrid WorkHealth InsuranceDental InsuranceVision InsurancePension 401kGenerous Vacation

Exam support

Exam fees covered · Study materials covered

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