Senior Actuarial Analyst
DoorDash
ETLPythonSQLTableau
Director of Actuarial
Innovaccer
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Lead
Tech Stack
PythonSQLTableauVBA
About the role
- Develop and maintain robust actuarial and financial models for premium rate setting, reserving, and forecasting.
- Analyse medical cost trends, utilisation patterns, and other key cost drivers.
- Conduct experience studies, variance analyses, and scenario modelling to support business planning.
- Design and price health insurance and value-based care products (e.g., MSSP, ACO REACH, Medicare Advantage).
- Support new product filings, ensuring compliance with CMS and CMMI requirements.
- Apply Medicare pricing methodologies and assist with regulatory submissions.
- Support CMS risk adjustment modelling (HCC, RxHCC, CDPS, etc.) to optimise revenue accuracy.
- Forecast financial performance, revenue, and margins based on risk scores, population mix, and membership changes.
- Collaborate with analytics and finance teams to develop predictive insights for strategic planning.
- Lead, mentor, and review the work of junior actuarial analysts and data modellers.
- Partner with cross-functional stakeholders to integrate actuarial insights into financial and operational decision-making.
- Present findings and recommendations to executive leadership, influencing strategic initiatives.
Requirements
- Bachelor’s or Master’s degree in Actuarial Science, Statistics, Mathematics, Finance, or a related field.
- FSA/ASA or equivalent actuarial credential preferred.
- 10+ years of progressive experience in actuarial, pricing, or financial analysis roles within health insurance or healthcare analytics.
- Demonstrated experience with CMS, CMMI, or Medicare programs strongly preferred.
- Technical Proficiency: SQL, SAS, R, Python, Excel (including VBA), Tableau or Power BI.
- Domain Expertise: Actuarial modeling, health insurance pricing, CMS risk adjustment, and value-based payment programs.
- Leadership Skills: Strong people management, stakeholder engagement, and executive communication capabilities.
- Analytical Strength: Exceptional ability to interpret data, model outcomes, and translate analytics into business strategies.
Benefits
- Generous Paid Time Off: Recharge and relax with 22 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance.
- Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments.
- Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed.
- Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
actuarial modelingfinancial modelingpricing methodologiesvariance analysisscenario modelingdata analysisforecastingrisk adjustment modelingpredictive analyticsdata interpretation
Soft skills
people managementstakeholder engagementexecutive communicationmentoringcollaborationinfluencingstrategic planninganalytical thinkingproblem-solvingpresentation skills
Certifications
FSAASA
