Build and maintain member-level actuarial models for risk adjustment, HCC capture, and medical economics across MA, MAPD, ACA, and Medicaid populations.
Design actuarial logic for customer-facing dashboards, partnering with data engineering and product teams to deliver accurate, timely visualizations.
Support RADV readiness by modeling audit exposure and prioritizing chart review efforts based on financial impact.
Own claims and savings projections and retrospective analyses across Maven's employer benefit programs.
Build, maintain, and scale Maven's actuarial and ROI models in Excel.
Support RFP responses and sales calls with actuarial projections and methodology documentation.
Maven is the world's largest virtual clinic for women and families, providing clinical, emotional, and financial support on one platform. Recognized for innovation, Maven has been named to the Time 100 Most Influential Companies and has raised over $425 million, with a culture that has earned numerous workplace awards.
Develop and maintain pricing models and rate adequacy monitoring tools.
Perform internal quarterly and annual loss and loss adjustment expense reserve analyses.
Design and execute complex data analyses using advanced statistical techniques.
EverPeak provides a digital platform for small business owners to buy and manage workers' compensation insurance. The company is focused on innovation and customer experience, with a team of passionate problem solvers.
Apply actuarial models and technical expertise to evaluate financial performance, pricing, reserving, and trend analysis.
Collaborate with business leaders to translate priorities into actionable insights and present findings to executives.
Develop and maintain data quality processes and controls to ensure accurate actuarial analysis.
This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is a primary care organization that applies advanced actuarial expertise to improve healthcare decision-making and financial performance, operating as a dynamic healthcare environment with a remote team.
Translate risk adjustment performance data into clear financial insights, including revenue impact, payment accuracy, ROI, and forecasting.
Analyze CMS data to identify opportunities for increasing operational efficiency and interpret trends to assess program and policy impacts.
Prepare and deliver clear reports and presentations to senior leadership, translating technical findings into actionable business recommendations.
Strive Health is on a mission to transform chronic conditions by identifying risk earlier and coordinating thoughtful care to reduce emergency visits and improve outcomes. The company offers a hybrid-remote flexibility model with comprehensive benefits and a culture described as passionate, one-team oriented, and focused on making an impact.
Lead corporate actuarial functions for workers' compensation and other P&C lines of business.
Manage a growing team of actuaries in reserving, reinsurance, pricing, ratemaking, analytics, and systems integration.
Enhance enterprise risk management, apply predictive models, and present to senior leadership.
Pie empowers small businesses by making commercial insurance affordable and easy. They are a diverse team of builders and entrepreneurs driven by core values and principles.
Lead financial planning and analysis for the Risk Adjustment organization, managing a team of FP&A Analysts.
Own forecasting, budgeting, and reporting for the Risk Adjustment P&L, translating complex data into actionable insights.
Drive analytical rigor, scalability, and process discipline to support business growth and decision-making.
HealthEdge delivers healthcare technology solutions and services. The company is a mid-sized organization with a culture centered on Centers of Excellence across HR, IT, Legal, and Finance.
Drive state expansion by developing rating models and supporting DOI inquiries.
Develop and expand product analytics to enrich understanding of profitability.
Design analytical frameworks and efficient processes for day-to-day operations.
Openly is rebuilding insurance from the ground up, re-envisioning every aspect of the customer experience for home insurance. The company is a rapidly growing team of exceptional, curious, empathetic people spanning technology, data science, product, marketing, sales, service, claims, and finance, committed to diversity, equity, and inclusion.
Engage directly with clients to provide advanced analytical support for pricing consultations and AI model adoption.
Write and execute SQL and Python queries to analyze large datasets and evaluate submission performance.
Clearly communicate complex mathematical and AI concepts to non-technical client stakeholders.
Gradient AI revolutionizes Group Health and P&C insurance with AI-powered solutions that help insurers predict risk more accurately, improve profitability, and automate underwriting and claims. Backed by $56M in Series C funding and scaling rapidly since 2018, the company fosters a fun, team-oriented startup culture.