Actuarial Analyst
New
C
CloverHealth Insurance
Remote - USAFull-TimeMiddle
Salary$90,000 — $110,000 USD
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Job Details
- Experience
- 2-4 years
- Required Skills
- PythonSQLBusiness IntelligenceMicrosoft ExcelData modelingR
Requirements
- 2-4 years of experience in healthcare finance, analytics, actuarial, consulting, strategy, operations, or a related field.
- Successful completion of one or more Society of Actuaries (SOA) exams.
- Strong quantitative, analytical, and problem-solving skills.
- Ability to work with large datasets and complex business questions.
- Proficiency in SQL and Excel required.
- Strong communication and presentation skills with the ability to translate complex analyses into actionable business insights.
- Experience in Medicare Advantage, managed care, or value-based healthcare preferred.
- Experience with Python, R, AI tools, Github, and business intelligence platforms preferred.
Responsibilities
- Perform quantitative analyses that support key actuarial functions, including financial forecasting, medical cost analysis, revenue optimization, reserving, pricing, risk adjustment, and value-based care initiatives.
- Develop and maintain analytical models using actuarial principles, statistical methods, and large healthcare datasets to evaluate financial performance, identify trends, and support strategic decision-making.
- Partner with actuaries and cross-functional business leaders to analyze operational and financial performance, investigate emerging trends, and develop data-driven recommendations.
- Prepare reports, dashboards, and executive presentations that communicate complex analytical findings and support business planning, forecasting, and performance monitoring.
- Support enterprise financial planning by analyzing medical costs, revenue drivers, risk adjustment performance, utilization trends, and other key business metrics across the Medicare Advantage business.
- Identify opportunities to improve processes and automate analyses using SQL, Excel, Python, and other AI analytical tools.
- Participate in rotational assignments across multiple actuarial disciplines to develop broad business knowledge and technical expertise while contributing to strategic initiatives across the organization.
- Support special projects and innovation initiatives that improve healthcare affordability, operational performance, member outcomes, and enterprise financial results.
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