Remote Actuarial Analyst, Medical Economics

Acturhire; Newtown Square (Delaware County); Hybrid; USD 65,000 - 95,000; Full time

Benefits offered by this job

Health insurance coverage for you and.

401(k)

Tuition reimbursement

Paid time off including holidays and?

Job summary

AmeriHealth Caritas is seeking an Actuarial Analyst (Remote) to join the Medical Economics team. The role reports to an Actuary and participates in the Actuarial Development Program, offering exam support, mentorship, and rotational opportunities.

Responsibilities include analyzing benefit and provider reimbursement changes, supporting data analytics, and developing medical economic models to drive cost containment and informed decisions across our health plans.

Qualifications

• Bachelor’s degree in Actuarial Science or related field.
• 1–3 actuarial exams completed.
• Internship experience is a plus.
• Proficient in Excel, SQL, and data visualization tools (Tableau/Power BI).
• Experience with database applications used for analysis.
• Strong project management skills.

Responsibilities

• Calculate, monitor, and assess impact of benefit and provider reimbursement changes.
• Assist in developing and maintaining spreadsheets and databases for trend and data analytics.
• Perform monthly data analysis projects to assist analysts.
• Assist in validating HVOs.
• Assist in maintaining and developing medical economic databases and applications.
• Assist in developing and refreshing actuarial medical economic models.
• Populate quarterly reporting templates for LOBs.
• Prepare internal and external communications, including with regulatory authorities.
• Use best practice models and other industry pricing tools.

Skills

Strong project management skills

Tableau

Power BI

Excel

SQL

Education

Bachelor’s degree in Actuarial Science or related field

1–3 actuarial exams

Internship experience

Tools

Excel

SQL

Tableau

Power BI

Database applications

Job description

AmeriHealth Caritas is seeking an Actuarial Analyst (Remote) to join the Medical Economics team. The role reports to an Actuary and participates in the Actuarial Development Program, offering exam support, mentorship, and rotational opportunities.

Responsibilities include analyzing benefit and provider reimbursement changes, supporting data analytics, and developing medical economic models to drive cost containment and informed decisions across our health plans.