Closer to consulting client-facing than pricing/underwriting partner—the work evaluates external proposals for government acquisition rather than supporting live insurer deals.
Senior Health actuarial consulting role supporting US federal healthcare proposal evaluations, performed 100% remotely. You will assess pricing, reimbursement, utilization, risk adjustment, rate development, and healthcare data, then provide findings for negotiations and source selection. The role requires 7+ years of relevant experience and 3+ years of hands-on model development or validation.
Requirements
Must have
Must be authorized to work in the US and able to obtain a Public Trust Security Clearance
Strongly preferred
Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, Healthcare Analytics, or a related field
7+ years of experience in healthcare actuarial analysis, managed-care analytics, healthcare economics, reimbursement, claims analytics, healthcare pricing, data analytics, or related field
3+ years recent hands-on experience developing, maintaining, or validating healthcare cost, utilization, reimbursement, pricing, or rate-development models
Nice to have
Experience supporting federal or state healthcare procurements, proposal evaluations, price analysis
Experience with Medicare, Medicaid, TRICARE, VA Community Care, FEHB, commercial managed care, or other large-scale healthcare programs
Experience analyzing healthcare data including claims, encounter, eligibility, membership, provider, reimbursement, and utilization data
Experience using SQL, SAS, R, Python, Power BI, Power Query, Excel, or other analytical, actuarial, modeling, or BI tools
ASA or FSA designation, MAAA membership, or active progress toward actuarial credential, or substantial equivalent healthcare actuarial experience
Skills & Domain
ToolsExcelPower_BI
DomainHealthcare actuarial analysisHealthcare cost and utilization modelingReimbursement and pricing methodologyRisk adjustment and rate developmentClaims and encounter data analysis