Director of Actuarial Analytics and Insights
USD 130K-219K (estimate) Executive-level Full Time
Tasks
- Analyze medical loss ratio drivers
- Analyze utilization trends
- Build forecasting and accrual models
- Build member level actuarial models
- Build population health metrics
- Communicate model methodology and results
- Design dashboard analytics logic
- Develop HCC capture and recapture analytics
- Develop medical economics models
- Estimate midyear and final settlement
- Maintain risk adjustment performance models
- Model risk adjustment audit exposure
- Partner to align analytics with quality initiatives
- Present analytics to executive audiences
- Prioritize chart review and coding efforts
- Reconcile RAF calculations with CMS source files
- Support ACA rate filings
- Support Medicaid capitation analytics
- Support Medicare Advantage bid pricing
- Support value based contract analytics
Perks/Benefits
Skills/Tech-stack
Accrual Modeling | Audit Readiness | CMS-HCC | Chart Review Prioritization | Chart review | Data Modeling | Encounter Data | Excel VBA | Forecasting | HCC Capture | ICD10 | Loss Ratio | Medical economics | Medical loss ratio | Microsoft Access | Microsoft Excel | Power BI | Python | R | RAF score calculation | Risk adjustment | SAS | SQL | Statistical modeling | Tableau | Utilization analysis
Education
Bachelor of Engineering | Bachelor of Science | Master of Science
Roles
Actuarial Analyst | Actuary | Analyst | Analytics | Analytics Director | Director | Risk Adjustment Analyst
Related jobs
-
A/B | A/B Testing | AWS | Anomaly Detection | AzureHybrid schedule | Occasional travel | Professional development | Remote workSenior-level Full TimeRemote, Remote, United States R5h ago
-
Azure Synapse | Azure Synapse Analytics | Dashboard Development | Data Governance | Data ModelingHybrid work | Three days per week in officeSenior-level Full TimeCarson, CA, United States R7h ago
-
Product Data Analyst USD 115K-151KA/B | A/B Testing | Activation | Airbyte | Apache FlinkAutonomy | Collaboration | Remote work | Remote-first companyEntry-level Full TimeUSA - West Coast R19h ago
-
Data Scientist USD 160K-245KAmazon EFS | Amazon S3 | BI Dashboards | Data Modeling | Data Pipelines401k matching | Hybrid work model | In-office meals | Paid parental leave | Pension contributionsSenior-level Full TimeNew York, New York, United States R22h ago
-
Lead, Audience Data Analyst USD 115K-158KAdobe Experience | Adobe Experience Platform | Audience Segmentation | Data Modeling | Data integration401k retirement savings plan | Life insurance | Long-term disability | Medical, dental, and vision benefits | Occasional travel for training and meetingsSenior-level Full TimeRemote US, United States R22h ago
-
Data Analyst Internship USD 44K-54KConditional Formatting | Data Mining | Data Pipelines | Data Visualization | Data cleaningInternship experience | Mentorship | Remote or hybrid collaborationEntry-level InternshipWashington, District of Columbia, United States … R22h ago
-
Sr. Director Marketing Analytics Consulting USD 146K-272KAI machine learning | Adobe Analytics | Attribution Modeling | Audience targeting | Campaign Optimization401k savings plan | Disability insurance | Employee assistance program | Hybrid work | Paid HolidaysSenior-level Full TimeChicago Illinois HQ (300 E. Randolph … R22h ago
-
Sr Analytics Consultant USD 84K-152KAlteryx | Data Analysis | Data Querying | Data Visualization | GitHub401k | Annual incentive bonus plan | Disability insurance | Employee assistance program | Paid HolidaysSenior-level Full TimeChicago Illinois HQ (300 E. Randolph … R22h ago
-
AVP, Analytics – Health & Wellness Sales USD 115K-200KAWS | MS Excel | Python | SAS | SQLAnnual bonus eligibility | Travel for business as required | Work from home flexibilityExecutive-level Full TimeChicago Hub, United States R22h ago
-
Data Analyst, Enterprise Data Governance Team USD 116K-163KBusiness Intelligence | Confluence | Dashboards | Data Governance | Data LineageHealth benefits | Hybrid work model | Retirement benefits | Vacation benefitsMid-level Full TimeUSA - AZ - Chandler, United … R22h ago
-
Manager, Underwriting Analytics USD 140K-160KActuarial Science | Business Intelligence | Data Architecture | Excel | Forecasting401k matching | Dental insurance | Life insurance | Long-term disability | Medical insuranceMid-level Full TimeNew York, NY, United States R22h ago
-
Product Analytics Manager - Funnel Analytics USD 130K-150KConversion Rate | Conversion rate optimization | Customer Journey | Customer Journey Analytics | ExperimentationHybrid work scheduleMid-level Full TimeUnited States R1d ago
-
Senior Analyst, Strategic Analytics USD 129K-177KAirflow | COGS Analysis | Contribution Margin | Cost analysis | DBT401k contribution | Fully remote | Health benefits | Paid time off | Sick time offSenior-level Full TimeUnited States - Remote R1d ago
-
Senior Data Analyst USD 145K-180KAgile | Confluence | DBT | DBT Cloud | Data Architecture401k match | Commuter benefits | Flexible spending account | Health and wellness stipend | Home office reimbursementSenior-level Full TimeRemote (National) R1d ago
-
Director of Product Strategy & Applied AI USD 234K-260KAgents SDK | Anthropic API | Azure OpenAI | Azure OpenAI API | ConfluenceExecutive-level Full TimeRemote- USA R1d ago
-
Senior Corporate Development Lead, AI USD 213K-284KCompetitive Analysis | Diligence | Financial Modeling | Forecasting | Market Analysis401k match | Best in class onboarding | Continuous professional development | Dental benefits | Employee stock purchase planSenior-level Full TimeSan Francisco, California, USA R1d ago
-
Anomaly Detection | Data Analysis | Data Modeling | Data Visualization | ExcelEntry-level InternshipRemote, Remote, United States R1d ago
-
VP, Portfolio Analytics & Reporting USD 300K-405KCFA Institute Standards | Cash Flow | Cash Flow Forecasting | Data Governance | Data Pipelines401k match | Casual dress code | Community happy hours | Dental insurance | Free catered food servicesExecutive-level Full TimeWestport, CT R1d ago
-
Performance Analytics Analyst USD 72K-97KData Visualization | Excel | Key Performance Indicators | LLM | Performance indicators401k | Cruise and travel privileges | Employee stock purchase plan | Health benefits | Professional Certification ReimbursementMid-level Full TimeMiami, FL, United States R1d ago
-
Senior Manager, Talent Management Analytics USD 98K-209KChange Management | Competency modeling | Excel | Job Architecture | Job analysis401k plan | Childcare discounts | Commuter benefits | Employee assistance plan | Holiday paySenior-level Full TimeBethesda, MD, United States R1d ago
-
Business Data Analyst USD 80K-100KAgile | Azure DevOps | DAX | Data Modeling | Data Validation401k match | Health insurance | Hybrid work | Paid time off | Wellness benefitsMid-level Full TimeNorthbrook, IL, United States R1d ago
-
Lead Business Operations Data Engineer - 928 USD 158K-200KAirflow | Alerting | Azure Data | Azure Data Factory | DBTHybrid work | Remote work up to 2 days per week with approvalSenior-level Full TimeUS Broomfield, CO R1d ago
-
Senior-level Full TimeNYC Office R1d ago
-
Associate Data Scientist (USA) BRL 30KData Aggregation | Data Preprocessing | Data Visualization | Data Warehousing | Data cleaningAllyship and inclusion communities | Caregiver leave | Continuous development support program | Employee assistance program | Employee recognitionMid-level Full TimeSalt Lake City, UT R1d ago
-
Snowflake Data Architecture & Insights Lead USD 150K-180KAccess Control | Analytics engineering | Auditability | DBT | Data Governance401k plan | Connected mobile work environment | Employee stock ownership plan | Family Care Reimbursement | Medical dental vision telehealth life insuranceSenior-level Full TimeRemote, US R1d ago