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

Role Summary

Role type

Modelling-focused individual contributor

Closer to a modelling-heavy IC than a pricing or underwriting partner—the ad emphasizes analytical ownership and enterprise recommendations, not live deal support.

Senior Health actuarial analytics role in Pittsburgh, Pennsylvania, focused on Medicare Advantage risk adjustment. You’ll evaluate CMS and medical claims data, reconcile submissions, forecast financial outcomes, and turn findings into recommendations for senior leadership. The role is hybrid and offers a disclosed salary of $99,000-$124,000 plus a target 10% bonus.

Requirements

Must have

Eligible to work in the US without sponsorship

Strongly preferred

4+ years of experience in risk adjustment analytics
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
A highly analytical problem-solver with a strong sense of ownership and intellectual curiosity
Able to manage a high volume of recurring and ad hoc deliverables without compromising quality
Comfortable navigating ambiguity and bringing structure to complex problems
Exceptional communicator who can translate technical findings into actionable business recommendations

Nice to have

Experience with PBI, Redshift, dbt docs

Skills & Domain

ToolsExcelPower_BI

DomainRisk adjustment analyticsMedicare Advantage risk adjustment (MMR, MOR, MAO-004)Medical claims data analysisCMS data reconciliation and financial reportingFinancial modeling and forecasting for healthcare

Role Summary

Role type

Modelling-focused individual contributor

Closer to a modelling-heavy IC than a pricing or underwriting partner—the ad emphasizes analytical ownership and enterprise recommendations, not live deal support.

Requirements

Must have

Eligible to work in the US without sponsorship

Strongly preferred

4+ years of experience in risk adjustment analytics
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
A highly analytical problem-solver with a strong sense of ownership and intellectual curiosity
Able to manage a high volume of recurring and ad hoc deliverables without compromising quality
Comfortable navigating ambiguity and bringing structure to complex problems
Exceptional communicator who can translate technical findings into actionable business recommendations

Nice to have

Experience with PBI, Redshift, dbt docs

Skills & Domain

ToolsExcelPower_BI

Role Summary

Role type

Requirements

Must have

Strongly preferred

Nice to have

Skills & Domain

Role Summary

Role type

Requirements

Must have

Strongly preferred

Nice to have

Skills & Domain

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