Med Econ Cost of Care Actuary
Job Overview:
Our Client is seeking a skilled and analytical Cost of Care Actuary to support the development and execution of strategies that improve healthcare affordability and outcomes. The ideal candidate will have a deep understanding of medical economics, healthcare claims data, and actuarial methodologies to drive insights that inform decision-making and cost optimization initiatives.
Key Responsibilities:
Analyze and interpret healthcare claims data to identify trends in utilization, cost, and performance.
Collaborate cross-functionally with clinical, operational, and financial teams to model cost savings and forecast financial impacts.
Develop actuarial models to support value-based care initiatives and risk adjustment.
Provide insights into population health trends and cost drivers.
Design and evaluate programs aimed at improving patient outcomes while managing costs.
Prepare reports and presentations to communicate findings to stakeholders and senior leadership.
Qualifications:
Associate of the Society of Actuaries (ASA) designation required.
Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or related field.
3+ years of experience in healthcare actuarial roles, preferably within a value-based care or medical economics environment.
Proficiency in analyzing large healthcare datasets, including medical and pharmacy claims.
Experience with SQL, Excel, and actuarial modeling tools; knowledge of Python, R, or SAS is a plus.
Strong communication and presentation skills, with the ability to translate technical insights into actionable business recommendations.
FAQs
Congratulations, we understand that taking the time to apply is a big step. When you apply, your details go directly to the consultant who is sourcing talent. Due to demand, we may not get back to all applicants that have applied. However, we always keep your resume and details on file so when we see similar roles or see skillsets that drive growth in organizations, we will always reach out to discuss opportunities.
Yes. Even if this role isn’t a perfect match, applying allows us to understand your expertise and ambitions, ensuring you're on our radar for the right opportunity when it arises.
We also work in several ways, firstly we advertise our roles available on our site, however, often due to confidentiality we may not post all. We also work with clients who are more focused on skills and understanding what is required to future-proof their business.
That's why we recommend registering your resume so you can be considered for roles that have yet to be created.
Yes, we help with resume and interview preparation. From customized support on how to optimize your resume to interview preparation and compensation negotiations, we advocate for you throughout your next career move.