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Role Summary

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HIGHLIGHTS

Senior health actuarial role focused on medical economics for risk-based contracts in the US. You will develop revenue and medical claims expense models, support pricing and reserving, and evaluate provider and vendor contracts. The role requires strong SQL and presentation skills and involves presenting results to management and governing bodies.

JOB DESCRIPTION SUMMARY

  • Develop revenue and medical-claims expense models for risk-based contracts
  • Support pricing, reserving, provider contract development, and product work
  • Analyze plan risk pool, identify cost trends, and drive contract decisions
  • Prepare presentations for management, board, and governing bodies
  • Use intermediate to advanced SQL for data access, validation, and analysis

DOMAIN EXPERTISE

  • medical economics and Medicare/Managed Care
  • revenue and medical claims expense modelling for risk contracts
  • pricing and reserving for health plans
  • provider contract financial evaluation

KEY REQUIREMENTS

  • 5–10 years related actuarial or analytics experience
  • Intermediate to advanced SQL skills (joins, nested queries, temp tables)
  • Subject-matter expertise in medical economics, Medicare and Managed Care
  • Experience developing pricing and claims expense models for risk contracts
  • Strong oral and written communication for executive-level presentations

TECH STACK

  • Excel
  • PowerPoint

Job Overview

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

Ideal Candidate Profile

Ideal for a Senior actuarial professional with 5–10 years in health/medical economics, experienced with Medicare/managed care and risk-based contract modelling, and strong SQL and executive communication skills.

Benefits

Shortlist Forming
Closing Soon
76d
76 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
Salary not specified
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a Senior actuarial professional with 5–10 years in health/medical economics, experienced with Medicare/managed care and risk-based contract modelling, and strong SQL and executive communication skills.

Benefits

Shortlist Forming
Closing Soon
76d
76 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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Health/Other/IC Level
I

Senior Associate, Actuarial Services

Interwell Health•United States•2mo ago
Medicare AdvantageCommercial Employer HealthPricing & RatingReserving & ValuationProduct Development & Plan Design