[Remote] Senior Actuarial Analyst

Note: The job is a remote job and is open to candidates in USA. Equality Health is an integrated healthcare delivery system focused on improving health and wellness for diverse populations. The Senior Actuarial Analyst will lead advanced actuarial analytics and health economics evaluations to measure financial and clinical outcomes across organizational programs, particularly within Medicaid populations and value-based care arrangements.ResponsibilitiesDevelop and enhance actuarial and health economic models to quantify program impact on cost, utilization, and quality outcomesOwn monitoring and evaluation of payer/provider-group performance across financial (MLR/MCR, PMPM) and operational/utilization metricsTranslate performance results into actionable insights and recommendations to improve value-based contract outcomesSupport payer reporting and partner discussions with clear, defensible financial analysesLeverage and integrate multiple data sources (claims, eligibility, pharmacy, EMR, quality, care management) to produce comprehensive analysesIdentify key cost drivers, population health trends, and intervention opportunities, particularly within Medicaid populationsInvestigate and resolve complex data anomalies; establish best practices for data validation and reliabilityTranslate analytical findings into executive-ready insights and narratives for internal and external stakeholdersContinuously improve processes for scalability, automation, and reproducibility of analysesSkillsBachelor's degree in Mathematics, Statistics, Actuarial Science, Economics, or related field (or equivalent experience)3-5+ years of healthcare analytics or actuarial experienceStrong experience with Medicaid data, including claims, encounters, eligibility, and capitation structuresDemonstrated experience in ROI analysis, health economics, or program evaluationAdvanced proficiency in SQL and Excel; experience with Python, R, or SAS preferredStrong understanding of healthcare financial metrics (PMPM, MLR/MCR, risk scores) and utilization driversExperience working in value-based care or risk-based contracting environmentsStrong communication skills with ability to present complex analyses to diverse audiencesProgress toward ASAExperience with causal inference or quasi-experimental methods (e.g., difference-in-differences, matching)Familiarity with Medicaid rate setting, risk adjustment models (e.g., CDPS), and regulatory environmentDemonstrated ability to manage multiple projects and operate independently in fast-paced environmentsStrong systems thinking with ability to connect clinical programs to financial outcomesCompany OverviewEquality Health is a population health risk management company that improves care delivery for underserved populations. It was founded in 2015, and is headquartered in Phoenix, Arizona, USA, with a workforce of 201-500 employees. Its website is https://www.equalityhealth.com/.