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Role Summary

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HIGHLIGHTS

Senior health actuarial role at a healthtech startup (remote, US). You will build and maintain actuarial cost‑savings models, analyze medical and pharmacy claims, and defend savings methodology to actuaries, CFOs, and payer clients across Medicare Advantage, Medicaid MCOs, and commercial lines. Reports into finance leadership and partners closely with clinical, contracting, and data engineering teams.

JOB DESCRIPTION SUMMARY

  • Build and maintain actuarial and cost‑savings models for payer engagements
  • Analyze member-level medical and pharmacy claims data
  • Defend savings methodology to credentialed actuaries and CFOs
  • Work across Medicare Advantage, Medicaid MCO, and commercial lines
  • Fully remote US role; preference for Central or Eastern time availability

DOMAIN EXPERTISE

  • Healthcare actuarial or medical economics experience at a health plan, ACO, consulting firm, or PBM
  • Hands-on medical and pharmacy claims analysis experience
  • Familiarity with stop-loss/reinsurance accounting and rebate flows
  • Knowledge of Part D benefit design and risk-adjustment mechanics

KEY REQUIREMENTS

  • 5+ years in healthcare actuarial, medical economics, or related finance roles
  • Hands-on experience with medical and Rx claims data
  • Familiarity with stop-loss/reinsurance accounting, rebate flows, Part D
  • Strong SQL and advanced Excel skills
  • Proven ability to present complex methodology to actuaries and CFOs

TECH STACK

  • Excel
  • PowerPoint
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Role Summary

Loading...

HIGHLIGHTS

Senior health actuarial role at a healthtech startup (remote, US). You will build and maintain actuarial cost‑savings models, analyze medical and pharmacy claims, and defend savings methodology to actuaries, CFOs, and payer clients across Medicare Advantage, Medicaid MCOs, and commercial lines. Reports into finance leadership and partners closely with clinical, contracting, and data engineering teams.

JOB DESCRIPTION SUMMARY

  • Build and maintain actuarial and cost‑savings models for payer engagements
  • Analyze member-level medical and pharmacy claims data
  • Defend savings methodology to credentialed actuaries and CFOs
  • Work across Medicare Advantage, Medicaid MCO, and commercial lines
  • Fully remote US role; preference for Central or Eastern time availability

DOMAIN EXPERTISE

  • Healthcare actuarial or medical economics experience at a health plan, ACO, consulting firm, or PBM
  • Hands-on medical and pharmacy claims analysis experience
  • Familiarity with stop-loss/reinsurance accounting and rebate flows
  • Knowledge of Part D benefit design and risk-adjustment mechanics

KEY REQUIREMENTS

  • 5+ years in healthcare actuarial, medical economics, or related finance roles
  • Hands-on experience with medical and Rx claims data
  • Familiarity with stop-loss/reinsurance accounting, rebate flows, Part D
  • Strong SQL and advanced Excel skills
  • Proven ability to present complex methodology to actuaries and CFOs

TECH STACK

  • Excel
  • PowerPoint

Job Overview

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

Ideal Candidate Profile

Senior health actuary with 5+ years in payer/ACO/consulting experience, strong SQL and Excel skills, and experience quantifying savings for Medicare Advantage, Medicaid, and commercial lines; ASA/FSA progress preferred.

Benefits

Equity/Stock OptionsRemote First
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
Salary not specified
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Senior health actuary with 5+ years in payer/ACO/consulting experience, strong SQL and Excel skills, and experience quantifying savings for Medicare Advantage, Medicaid, and commercial lines; ASA/FSA progress preferred.

Benefits

Equity/Stock OptionsRemote First
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/Insurtech/IC Level
Haystack Health

Senior Actuary/Financial Analyst

Haystack Health•United States•1d ago
RemoteMedicare AdvantageMedicaidCommercial Employer HealthStop LossExperience StudiesBusiness Intelligence & ReportingPredictive Modelling & ML

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