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Role Summary

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HIGHLIGHTS

Senior health actuarial analyst role focused on value-based care and Medicaid engagements in Texas. You will build forecasting and IBNR models, measure shared-savings arrangements, and present financial and utilization insights to senior leadership and payor partners. The role partners with Healthcare Economics, Finance, and Business Development to evaluate new business and monitor performance.

JOB DESCRIPTION SUMMARY

  • Forecast cost, revenue, membership and IBNR for pediatric value-based arrangements
  • Measure performance of shared-savings/value-based contracts for payor clients
  • Analyze utilization, risk score and profitability by duration and acuity
  • Partner with Healthcare Economics, Finance, and Business Development
  • Role based in Texas; Senior-level actuarial analyst (ASA-track, 3+ exams)

DOMAIN EXPERTISE

  • Medicaid reimbursement and healthcare claims data
  • Value-based/shared-savings arrangements
  • Cost and revenue forecasting models
  • IBNR and risk score trend analysis

KEY REQUIREMENTS

  • ASA or working toward ASA with 3+ completed SOA exams
  • Bachelor's degree
  • 2–4 years actuarial experience in healthcare, managed care, or consulting
  • Proficiency with SQL and/or SAS

TECH STACK

  • No tech stack specified
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Role Summary

Loading...

HIGHLIGHTS

Senior health actuarial analyst role focused on value-based care and Medicaid engagements in Texas. You will build forecasting and IBNR models, measure shared-savings arrangements, and present financial and utilization insights to senior leadership and payor partners. The role partners with Healthcare Economics, Finance, and Business Development to evaluate new business and monitor performance.

JOB DESCRIPTION SUMMARY

  • Forecast cost, revenue, membership and IBNR for pediatric value-based arrangements
  • Measure performance of shared-savings/value-based contracts for payor clients
  • Analyze utilization, risk score and profitability by duration and acuity
  • Partner with Healthcare Economics, Finance, and Business Development
  • Role based in Texas; Senior-level actuarial analyst (ASA-track, 3+ exams)

DOMAIN EXPERTISE

  • Medicaid reimbursement and healthcare claims data
  • Value-based/shared-savings arrangements
  • Cost and revenue forecasting models
  • IBNR and risk score trend analysis

KEY REQUIREMENTS

  • ASA or working toward ASA with 3+ completed SOA exams
  • Bachelor's degree
  • 2–4 years actuarial experience in healthcare, managed care, or consulting
  • Proficiency with SQL and/or SAS

TECH STACK

  • No tech stack specified

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Job Overview

Salary
$90k - $110k
Years of Experience
2+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health actuary (ASA or ASA-track with 3+ exams) with 2–4 years in managed care or consulting who excels at Medicaid reimbursement analytics, forecasting, and working with claims data in SQL/SAS.

ASAStudent

Benefits

Annual BonusEquity/Stock OptionsHealth InsuranceDental InsuranceHSA/FSA Available401(k) PlanShort/Long Term DisabilityLife InsuranceGenerous VacationPaid Parental Leave
Fresh Role
Premium Window
1d
1 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

Salary
$90k - $110k
Years of Experience
2+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health actuary (ASA or ASA-track with 3+ exams) with 2–4 years in managed care or consulting who excels at Medicaid reimbursement analytics, forecasting, and working with claims data in SQL/SAS.

ASAStudent

Benefits

Annual BonusEquity/Stock OptionsHealth InsuranceDental InsuranceHSA/FSA Available401(k) PlanShort/Long Term DisabilityLife InsuranceGenerous VacationPaid Parental Leave
Fresh Role
Premium Window
1d
1 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Health/Other/IC Level
I

Senior Actuary Analyst

Imagine Pediatrics•Texas, United States•1d ago
MedicaidReserving & ValuationPricing & RatingBusiness Intelligence & Reporting