Senior Actuarial Analyst
Innovaccer
About the Role
The Senior Actuarial Analyst will provide advanced actuarial support across Humbi.AI's provider and payer consulting engagements. This role encompasses a broad range of healthcare actuarial functions including medical cost analysis, rate development and review, financial forecasting, and value-based care performance reporting. The ideal candidate brings strong technical skills, healthcare market knowledge, and an eagerness to grow in a dynamic, innovation-driven consulting environment.
A Day in the Life
- Conduct medical cost analyses including trend studies, utilization benchmarking, and high-cost claimant impact assessments.
- Develop and maintain actuarial rate models for commercial, Medicare, and/or Medicaid populations.
- Support rate development and rate review processes, including preparation of actuarial memoranda and regulatory filings.
- Support financial forecasting and budget development for health plan and provider organization clients.
- Build and document actuarial models to evaluate value-based care contract performance, including shared savings and risk-sharing arrangements.
- Analyze population health data to identify cost drivers and opportunities for clinical and financial intervention.
- Access and analyze CMS Medicare claims data through the CCW Virtual Research Data Center (VRDC) as applicable to client engagements.
- Prepare client deliverables including actuarial exhibits, trend analyses, and executive summaries.
- Collaborate with data science and product teams to support development of analytics-driven consulting solutions.
- Provide technical mentorship and peer review for junior actuarial staff.
What You Need
- Pursuing ASA designation (SOA pathway); completion of at least 4 SOA exams required, ASA preferred.
- 3–6 years of actuarial experience in healthcare, insurance, or a related field.
- Proficiency in data analysis and modeling tools including SQL and at least one statistical or programming language (SAS, R, Python).
- Experience with healthcare claims data, PMPM analysis, and financial modeling.
- Demonstrated ability to manage multiple projects and deliver high-quality work on deadline.
- Strong analytical, problem-solving, and written communication skills.
Preferred Qualifications
- ASA designation (SOA).
- Experience with rate development or rate review in healthcare, including actuarial memoranda preparation.
- Experience across multiple lines of healthcare business (commercial, Medicare, Medicaid).
- Knowledge of risk adjustment methodologies and value-based care contracting models.
- Experience with CCW VRDC data access and CMS Medicare claims data analysis.
- Healthcare consulting or managed care actuarial background.
- Exposure to healthcare data and analytics platforms.
We offer competitive benefits to set you up for success in and outside of work.
Here’s What We Offer
- 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.
Innovaccer Inc. is an equal opportunity employer. We celebrate diversity and are committed to fostering an inclusive workplace where all employees feel valued and empowered regardless of any characteristic protected by federal, state or local law including, without limitation, race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, medical condition, disability, age, marital status, or veteran status. Innovaccer Inc. participates in the E-Verify program to confirm employment eligibility of all newly hired employees based out of the U.S. and employed by Innovaccer Inc.
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Disclaimer:
Innovaccer does not charge fees or require payment from individuals or agencies for securing employment with us. We do not guarantee job spots or engage in any financial transactions related to employment. If you encounter any posts or requests asking for payment or personal information, we strongly advise you to report them immediately to our HR department at px@innovaccer.com. Additionally, please exercise caution and verify the authenticity of any requests before disclosing personal and confidential information, including bank account details.