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Role Summary

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HIGHLIGHTS

Senior health-focused actuarial analyst role in Bronx, NY supporting population health forecasting, risk performance, and medical economics across multiple payers. You'll maintain actuarial and fee-for-service models, analyze cost and utilization, and work with IT and Finance to automate workflows. Requires 3–5 years healthcare analytics experience and strong SQL/Python skills.

JOB DESCRIPTION SUMMARY

  • Maintain actuarial, population health and fee-for-service models
  • Analyze cost, utilization, PMPM trends, risk scores and stop-loss exposure
  • Work with Databricks, SQL and Python; build Power BI visualizations
  • Partner with Finance, IT, Contracting and Medical Management
  • Senior Analyst level with 3–5 years healthcare actuarial/analytics experience

DOMAIN EXPERTISE

  • Healthcare analytics or actuarial analysis
  • Fee-for-service and value-based payment models
  • Claims data analysis and CMS methodologies
  • Risk adjustment and HCC familiarity
  • Monitoring PMPM trends and stop-loss exposure

KEY REQUIREMENTS

  • Bachelor's degree in Actuarial Science, Statistics, Math, Finance, or related
  • 3–5 years of healthcare analytics, actuarial analysis, or managed care
  • Proficiency in SQL and experience with Databricks and Python
  • Knowledge of claims data, CMS methodologies, risk adjustment, HCC
  • Experience with Power BI and creating effective data visualizations

TECH STACK

  • Power_BI
  • Databricks

Job Overview

Salary
$120k - $150k
Years of Experience
3+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Senior actuarial/data analyst with 3–5 years in healthcare analytics (Medicare/Medicaid/ACO) who is proficient in SQL and Python and experienced in population health forecasting and claims-based modeling.

Benefits

Shortlist Forming
Closing Soon
44d
44 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
$120k - $150k
Years of Experience
3+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Senior actuarial/data analyst with 3–5 years in healthcare analytics (Medicare/Medicaid/ACO) who is proficient in SQL and Python and experienced in population health forecasting and claims-based modeling.

Benefits

Shortlist Forming
Closing Soon
44d
44 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."

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