Data Scientist, Credit
Grasshopper Bank
PythonSQLTableau
Associate Director, Predictive & Actuarial Analytics
Abarca Health
full-time
Posted on:
Origin: • 🇺🇸 United States • Florida
Visit company websiteJob Level
Senior
Tech Stack
PythonSQLTableauVBA
About the role
- Lead development of cutting-edge predictive models using regression, ML, and simulation to forecast drug spend.
- Develop ongoing short, mid, and long-range forecasts of rebates, trends, revenue, and expenses for Abarca and its clients.
- Develop actuarial work products that inform business decision making.
- Develop prescriptive frameworks that translate model insights into targeted interventions (e.g., outreach sequencing, formulary design, provider strategies).
- Craft financial impact modeling for changes in risk, utilization management, and trends.
- Forecast trends using market indicators and Abarca solutions via explanatory variables, simulation, judgmental, and experience methods.
- Create models that showcase Abarca’s value proposition.
- Assist in modeling the impact of new regulations and quality measures (e.g., STARs).
- Communicate key results to executives and functional leads and serve as a senior thought leader and trusted advisor.
- Develop other financial models for critical priorities as needed and support underwriting with analytic models for pricing and guarantees.
- Stay ahead of predictive analytics and payor trends and participate in strategic leadership discussions and decisions.
Requirements
- Bachelor’s Degree or Master’s Degree in Statistics, Computer Science, Mathematics, Social Science, Finance, or a related field (In lieu of a degree, equivalent experience may be considered).
- 10+ years’ experience as an actuary in medical or pharmacy benefits or healthcare payor analytics, including PBM, MA, or consulting.
- Expertise in SQL, Python/R, ML libraries, and tools like SAS, PowerBI, or Tableau.
- Demonstrated experience in building predictive models for drug spend and quality metrics with complex claims/pharmacy datasets.
- Experience in driving and taking ownership for creating cost savings and ROI models.
- Strong communicator with ability to influence clinical, financial, and executive stakeholders.
- This position may require availability for on-call hours, including evenings, weekends, and holidays.
- Nice to haves: Fellow or Associate in the Society of Actuaries (FSA or ASA).
- Nice to haves: Experience with Commercial, Medicare, and Medicaid revenue methodologies as well as APMs and Value-Based Care contracts and creating value proposition models.
- Nice to haves: Experience as a professional actuary, including Medicare Advantage and Part D bidding trend and forecasting analytics.
- Nice to haves: Coding skills, preferably SAS, VBA, SQL, Python, and R.
- Abarca Health LLC does not sponsor employment visas at this time.
