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Role Summary

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HIGHLIGHTS

Senior actuarial role in PeaceHealth's Value Based Care team, focused on modeling and analytics for Medicare, Medicaid, and commercial value-based programs. You will use SQL and Python to mine claims data, build predictive models, compute risk scores, and support revenue forecasting and performance monitoring. The role is remote within Oregon, Washington, or Alaska and requires an SOA exam track with at least two exams passed toward ASA or FSA.

JOB DESCRIPTION SUMMARY

  • Develop analytic models for VBC programs (MSSP, ACO REACH, Medicare Advantage)
  • Mine claims data with SQL and Python to drive cost-of-care insights
  • Compute HCC risk scores, support revenue forecasting and reconciliation
  • Communicate findings to stakeholders via reports, presentations, and dashboards
  • Remote role; must reside in OR, WA or AK

DOMAIN EXPERTISE

  • Value-based care analytics (MSSP, ACO REACH, Medicare Advantage)
  • Risk adjustment and HCC scoring
  • Claims data mining in SQL and Python

KEY REQUIREMENTS

  • 5+ years experience with advanced SQL/Python and claims data
  • 2+ SOA exams passed toward ASA or FSA
  • Expertise in VBC analytics (Medicare/Medicaid, MSSP, risk adjustment)
  • Strong understanding of HCC scoring and revenue forecasting
  • Eligible to work in the US without sponsorship

TECH STACK

  • Excel
  • Power_BI
  • Tableau
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Role Summary

Loading...

HIGHLIGHTS

Senior actuarial role in PeaceHealth's Value Based Care team, focused on modeling and analytics for Medicare, Medicaid, and commercial value-based programs. You will use SQL and Python to mine claims data, build predictive models, compute risk scores, and support revenue forecasting and performance monitoring. The role is remote within Oregon, Washington, or Alaska and requires an SOA exam track with at least two exams passed toward ASA or FSA.

JOB DESCRIPTION SUMMARY

  • Develop analytic models for VBC programs (MSSP, ACO REACH, Medicare Advantage)
  • Mine claims data with SQL and Python to drive cost-of-care insights
  • Compute HCC risk scores, support revenue forecasting and reconciliation
  • Communicate findings to stakeholders via reports, presentations, and dashboards
  • Remote role; must reside in OR, WA or AK

DOMAIN EXPERTISE

  • Value-based care analytics (MSSP, ACO REACH, Medicare Advantage)
  • Risk adjustment and HCC scoring
  • Claims data mining in SQL and Python

KEY REQUIREMENTS

  • 5+ years experience with advanced SQL/Python and claims data
  • 2+ SOA exams passed toward ASA or FSA
  • Expertise in VBC analytics (Medicare/Medicaid, MSSP, risk adjustment)
  • Strong understanding of HCC scoring and revenue forecasting
  • Eligible to work in the US without sponsorship

TECH STACK

  • Excel
  • Power_BI
  • Tableau

Job Overview

Salary
$101k - $151k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health actuary with 5+ years of VBC analytics experience, strong SQL/Python skills, and at least 2 SOA exams toward ASA/FSA, who enjoys mining claims data and translating complex analytics into actionable business insights.

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanLife InsuranceShort/Long Term DisabilityTuition ReimbursementWellness ProgramRemote 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
$101k - $151k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health actuary with 5+ years of VBC analytics experience, strong SQL/Python skills, and at least 2 SOA exams toward ASA/FSA, who enjoys mining claims data and translating complex analytics into actionable business insights.

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanLife InsuranceShort/Long Term DisabilityTuition ReimbursementWellness ProgramRemote 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."

Sr Actuarial Analyst Value Based Care

PeaceHealth

Health/Insurer/IC Level
P

Sr Actuarial Analyst Value Based Care

PeaceHealth
Vancouver, Washington, United States•1d ago
RemoteMedicare AdvantageMedicaidACA ExchangeCommercial Employer Health

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