Role Summary

HIGHLIGHTS

Senior healthcare actuarial lead role (US) focused on actuarial and advanced risk modeling for Medicare, Medicaid, and commercial plans. You will design, develop, and validate predictive and financial models for cost forecasting, member risk stratification, and payment integrity. The contract position requires 10+ years of US healthcare actuarial/risk modeling experience and hands-on use of Python/R/SQL and modern analytics platforms.

JOB DESCRIPTION SUMMARY

Lead actuarial and risk modeling for US healthcare (Medicare, Medicaid, Commercial)
Develop predictive models for cost forecasting, risk adjustment, and member stratification
Apply GLMs, survival analysis, time series and machine learning methods
Work with large claims, member, and provider datasets on Databricks-like platforms
Contract role requiring 10+ years of US healthcare actuarial/risk modeling experience

DOMAIN EXPERTISE

US healthcare actuarial and risk modeling
Medicare (MA, FFS, Risk Adjustment) experience
Medicaid / state program modeling experience
Commercial / employer plan cost and utilization modeling
Cost modelling and utilization forecasting

KEY REQUIREMENTS

10+ years developing actuarial or risk models in the US healthcare industry
Proven experience with Medicare (MA/FFS/risk adjustment), Medicaid, or commercial plans
Advanced modelling: GLMs, survival analysis, and time series forecasting
Hands-on experience with Python, R, and SQL and large healthcare datasets
Must be eligible to work in the US without immigration sponsorship

TECH STACK

Databricks

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Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead actuarial and risk modeling for US healthcare (Medicare, Medicaid, Commercial)
Develop predictive models for cost forecasting, risk adjustment, and member stratification
Apply GLMs, survival analysis, time series and machine learning methods
Work with large claims, member, and provider datasets on Databricks-like platforms
Contract role requiring 10+ years of US healthcare actuarial/risk modeling experience

DOMAIN EXPERTISE

US healthcare actuarial and risk modeling
Medicare (MA, FFS, Risk Adjustment) experience
Medicaid / state program modeling experience
Commercial / employer plan cost and utilization modeling
Cost modelling and utilization forecasting

KEY REQUIREMENTS

10+ years developing actuarial or risk models in the US healthcare industry
Proven experience with Medicare (MA/FFS/risk adjustment), Medicaid, or commercial plans
Advanced modelling: GLMs, survival analysis, and time series forecasting
Hands-on experience with Python, R, and SQL and large healthcare datasets
Must be eligible to work in the US without immigration sponsorship