acturhire
CompaniesBlog
Log in
CompaniesBlogBrowse JobsPost a Job
© 2026 Acturhire. All rights reserved.
acturhire
CompaniesBlog
Log in
Back to Search

Role Summary

Loading...

HIGHLIGHTS

Manager-level health plan analytics role supporting Parkland Community Health Plan in Dallas, TX. Lead cost and utilization reporting, claims analytics, and risk-adjustment analytics for Medicaid and CHIP. Support actuarial forecasting, premium deficiency reserve analysis, and act as backup for Financial Statistical Report (FSR) regulatory submissions. Hybrid work schedule.

JOB DESCRIPTION SUMMARY

  • Lead cost and utilization reporting for a Medicaid managed care plan
  • Analyze medical and pharmacy claims to identify cost drivers
  • Support actuarial forecasting and premium deficiency reserve analysis
  • Serve as backup for FSR preparation and regulatory submissions
  • Use SQL and Power BI/Tableau to build dashboards and reports

DOMAIN EXPERTISE

  • healthcare analytics in managed care
  • cost and utilization reporting
  • claims data analysis
  • risk adjustment methodologies (CDPS, HHS-HCC)
  • FSR and Medicaid regulatory reporting

KEY REQUIREMENTS

  • 5+ years in healthcare analytics, actuarial analysis, or financial planning
  • Experience in managed care or health plan environment (Medicaid/CHIP)
  • Experience with cost/utilization reporting and claims data analysis
  • Familiarity with Medicaid/ACA risk adjustment (CDPS, HHS‑HCC)
  • Proficiency in SQL and Excel; experience with Power BI or Tableau

TECH STACK

  • Excel
  • Power_BI
  • Tableau

Job Overview

Salary
Salary not specified
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Experienced (5+ years) healthcare analytics or actuarial professional for a Medicaid managed care plan, skilled in SQL and Power BI, familiar with risk adjustment (CDPS/HHS‑HCC) and regulatory reporting.

Benefits

Shortlist Forming
Closing Soon
40d
40 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
Salary not specified
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Experienced (5+ years) healthcare analytics or actuarial professional for a Medicaid managed care plan, skilled in SQL and Power BI, familiar with risk adjustment (CDPS/HHS‑HCC) and regulatory reporting.

Benefits

Shortlist Forming
Closing Soon
40d
40 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Similar Opportunities

AIG
1mo ago

Actuary & AVP - Lexington Property Pricing

AIG • PA-Philadelphia

Salary not specified
AIG
1mo ago

Senior Actuarial Analyst, Reserving - Workers Compensation

AIG • NY-New York

$100k - $125k
AIG
1mo ago

Actuary & Director - PCS

AIG • NY-New York

$159k - $204k

Similar Opportunities

AIG
1mo ago

Actuary & AVP - Lexington Property Pricing

AIG • PA-Philadelphia

Salary not specified
AIG
1mo ago

Senior Actuarial Analyst, Reserving - Workers Compensation

AIG • NY-New York

$100k - $125k
AIG
1mo ago

Actuary & Director - PCS

AIG • NY-New York

$159k - $204k
Health/Insurer/Manager Level
P

Program Manager Healthcare Financial Analytics- Health Plan

Parkland Health and Hospital System•Dallas, United States•1mo ago
HybridMedicaidACA ExchangeRegulatory ReportingReserving & ValuationPredictive Modelling & ML