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Data Analysis
Actuarial Analyst
@VIVIO Health
[Hiring] Actuarial Analyst @VIVIO Health
Apr 07, 2025 - VIVIO Health is hiring a remote Actuarial Analyst. 💸 Salary: $85-$115k/year. 📍Location: USA.
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Role Description
We are seeking a highly analytical and detail-oriented Actuarial Analyst to join our team. In this role, you will be responsible for conducting deep analytical work, developing cost-saving models, and collaborating with cross-functional teams, including clinical strategy, product, and customer success. You will provide strategic recommendations focused on reducing unnecessary spending, optimizing resources, and ensuring adherence to clinical and regulatory standards.
- Develop and maintain actuarial and financial models to support business needs and strategic goals.
- Design and develop financial models to quantify the impact of proposed cost-saving initiatives and forecast potential outcomes.
- Assist in enhancing actuarial models and ensuring accurate validation of data and results using in-house models or actuarial software.
- Conduct advanced data analysis to assess claims trends, approval and denial patterns, and cost drivers.
- Focus on minimizing waste and controlling costs through detailed analysis of financial data.
- Identify trends, patterns, and anomalies using statistical and data visualization tools to provide actionable insights.
- Assess and analyze financial risks and opportunities by applying actuarial methods and conducting actuarial analyses.
- Stay current with actuarial research, industry standards, assumptions, competition, and the legal and regulatory environment to inform decision-making.
- Support post-implementation assessments to evaluate the effectiveness and impact of cost-saving initiatives.
- Ensure continuous improvement and long-term sustainability of implemented cost-saving strategies.
- Collaborate proactively with stakeholders, including leadership, clinical teams, and customer success teams, to understand business needs and challenges.
- Translate complex actuarial concepts into clear, non-technical recommendations for business partners and stakeholders.
- Act as a trusted advisor by providing expert guidance and strategic insights to influence decision-making and ensure alignment with business goals.
- Support cost-saving projects by providing analysis and recommendations based on actuarial models and financial forecasting.
- Develop and present executive-level reports and presentations summarizing cost-saving achievements and project performance.
- Identify and implement innovative approaches, including new technologies, data analysis tools, and process improvements, to optimize cost savings.
- Prepare and present detailed reports and strategic recommendations to leadership and stakeholders on financial outcomes and performance metrics.
Qualifications
- 2+ years of experience in healthcare analytics, cost containment, or similar roles in the healthcare industry, preferably within a payer, provider, or managed care setting.
- Bachelor's degree in Actuarial Science, Mathematics, Statistics, Finance, Economics or related field Required.
- ASA (Associate of the Society of Actuaries) or actively working towards it. Minimum of three Society of Actuaries (SOA) actuarial exams passed.
- Familiarity with Pharmacy benefits, health care, prior authorization, utilization management processes is highly desirable.
- Strong understanding of healthcare cost drivers claims data, and prior authorization processes.
- Strong data interpretation, statistical analysis and problem-solving skills.
- Ability to transform complex data into actionable insights and clear, concise reports.
- Proficiency in data analytics and visualization tools, such as SQL, Tableau, Power BI, and advanced Excel.
- Strong interest and understanding of prior authorization data, claims and SDOH data.
- Proficient in R, SQL, Python, Scala, AWS (S3, Airflow, Athena, Spark).
- Excellent interpersonal skills to work with end users to develop QC metrics.
- Passionate about improving the U.S. healthcare system and helping ensure every patient receives the best care possible.
- Self-starter, able to work independently, able to succeed in a fast-paced, high-intensity environment.
Requirements
- Base Salary: $85-$115K/year
- Remote position
- Annual bonus eligible
- Comprehensive Benefits Package:
- Medical, Pharmacy, Dental, Vision
- Life Insurance
- Stock Options
- 401(k) with Company Match
- PTO
- Full-time position
- Dynamic, collaborative work environment
- Opportunity to make real impact at a growing Public Benefit Corporation
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| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
Back to Remote jobs >
Data Analysis
Data Analysis
|
Salary
💸
$85-$115k/year
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Apr 07, 2025
|
️
| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
