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Role Summary

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HIGHLIGHTS

Senior health actuarial analyst focused on Medicare risk adjustment at a US remote-first health insurer. You’ll maintain CMS HCC/RxHCC models, support monthly close and risk-adjusted revenue accruals, build automated data pipelines and dashboards, and provide forecasting and pricing support. Senior IC role with significant cross-functional exposure to finance, data science, and operations.

JOB DESCRIPTION SUMMARY

  • Maintain CMS HCC and RxHCC member-level risk score models
  • Support monthly close and develop risk-adjusted revenue accruals
  • Build automated actuarial tools, data pipelines, and dashboards
  • Partner with Data Science, Finance, Operations and external vendors
  • Remote-first senior actuarial analyst role focused on Medicare RA

DOMAIN EXPERTISE

  • Medicare Risk Adjustment
  • CMS EDS submissions
  • Healthcare claims data analysis
  • Risk adjustment, forecasting and revenue accruals

KEY REQUIREMENTS

  • At least 1 year of health insurance experience
  • Completed at least 2 actuarial exams
  • 2+ years Medicare Risk Adjustment and CMS EDS experience
  • 2+ years programming experience (SQL, R, Python, SAS, VBA)
  • Experience building analytic dashboards and automation

TECH STACK

  • No tech stack specified
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Role Summary

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HIGHLIGHTS

Senior health actuarial analyst focused on Medicare risk adjustment at a US remote-first health insurer. You’ll maintain CMS HCC/RxHCC models, support monthly close and risk-adjusted revenue accruals, build automated data pipelines and dashboards, and provide forecasting and pricing support. Senior IC role with significant cross-functional exposure to finance, data science, and operations.

JOB DESCRIPTION SUMMARY

  • Maintain CMS HCC and RxHCC member-level risk score models
  • Support monthly close and develop risk-adjusted revenue accruals
  • Build automated actuarial tools, data pipelines, and dashboards
  • Partner with Data Science, Finance, Operations and external vendors
  • Remote-first senior actuarial analyst role focused on Medicare RA

DOMAIN EXPERTISE

  • Medicare Risk Adjustment
  • CMS EDS submissions
  • Healthcare claims data analysis
  • Risk adjustment, forecasting and revenue accruals

KEY REQUIREMENTS

  • At least 1 year of health insurance experience
  • Completed at least 2 actuarial exams
  • 2+ years Medicare Risk Adjustment and CMS EDS experience
  • 2+ years programming experience (SQL, R, Python, SAS, VBA)
  • Experience building analytic dashboards and automation

TECH STACK

  • No tech stack specified

Job Overview

Salary
$108k - $132k
Years of Experience
1+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health actuary with Medicare risk adjustment experience, 2+ actuarial exams completed, strong SQL/Python skills, and a passion for automation and building analytic dashboards.

Benefits

Annual Bonus401(k) PlanHealth InsuranceDental InsuranceVision InsuranceEquity/Stock OptionsPaid Parental LeaveRemote FirstHome Office StipendMentorship Program
Active Screening
Standard Review
9d
9 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

Job Overview

Salary
$108k - $132k
Years of Experience
1+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health actuary with Medicare risk adjustment experience, 2+ actuarial exams completed, strong SQL/Python skills, and a passion for automation and building analytic dashboards.

Benefits

Annual Bonus401(k) PlanHealth InsuranceDental InsuranceVision InsuranceEquity/Stock OptionsPaid Parental LeaveRemote FirstHome Office StipendMentorship Program
Active Screening
Standard Review
9d
9 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

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