Closer to a modelling-heavy individual contributor than a pricing-underwriting partner: the work independently tests proposal models rather than supporting live carrier deals.
Senior Health actuarial consulting role, fully remote in the United States, supporting evaluation of complex managed-care medical and dental proposals for a major federal procurement. You will validate pricing models, healthcare cost assumptions, data, and rate development, then communicate financial findings to acquisition specialists and senior Government decision-makers.
Requirements
Must have
Must be currently authorized to work in the United States on a full-time basis and have the ability to obtain a Public Trust Security Clearance
Strongly preferred
Bachelor's degree in a relevant field (Finance, Economics, Mathematics, Actuarial Science, Statistics, Healthcare Administration, or related)
8+ years of experience in healthcare actuarial analysis, managed-care analytics, healthcare economics, rate development, or related work
6+ years of experience developing, reviewing, or validating managed healthcare cost and utilization projections
6+ years of experience independently evaluating actuarial assumptions and complex models, with advanced Excel, strong technical-writing skills, and ability to communicate findings to non-actuarial stakeholders under compressed deadlines
Nice to have
Experience supporting federal or state healthcare procurements, proposal evaluations, rate reviews, or contract negotiations
Experience with Medicare, Medicaid, TRICARE, VA Community Care, Federal Employees Health Benefits, commercial managed care, or comparable programs
Knowledge of applicable Actuarial Standards of Practice, particularly those addressing data quality, modeling, credibility, healthcare cost estimates, and communications
Experience using SQL, SAS, R, Python, Power Query, Power BI, or other actuarial and analytical tools
DomainHealthcare actuarial analysisManaged-care cost and utilization projectionsEvaluating actuarial assumptions and modelsRate development and risk adjustmentIBNR and claims completion analysis