Remote Senior Actuarial Analyst — ROI & Value-Based Care

Equality Health; Northern (KY); Hybrid; USD 95,000 - 145,000; Full time

Job summary

Equality Health is seeking a Senior Actuarial Analyst to lead advanced actuarial analytics and health economics evaluations. You will design affordability analyses and ROI studies, especially within Medicaid populations and value-based care arrangements.

You will translate complex clinical interventions into financial impact, drive insights for payer performance, product strategy, and enterprise decision-making while improving scalability and reproducibility of analyses.

Qualifications

• Bachelor’s degree in Mathematics, Statistics, Actuarial Science, Economics, or related field.
• Progress toward ASA or equivalent credentials.
• 3–5+ years of healthcare analytics or actuarial experience.
• Strong experience with Medicaid data (claims/encounters/eligibility/capitation).
• Experience with ROI analysis and health economics.

Responsibilities

• Develop and enhance actuarial and health economic models to quantify program impact.
• Monitor payer/provider performance using financial and utilization metrics.
• Translate results into actionable insights for value-based contracts.
• Support payer reporting and partner discussions with robust analyses.
• Integrate multiple data sources (claims, eligibility, EMR, quality) for analyses.
• Identify cost drivers and opportunities within Medicaid populations.
• Ensure data validation and reproducibility of analyses.
• Present findings to executives and external stakeholders.

Education

Bachelor’s degree in Mathematics/Statistics/Actuarial Science/Economics

Tools

SQL

Python

R

SAS

Excel

Job description

Equality Health is seeking a Senior Actuarial Analyst to lead advanced actuarial analytics and health economics evaluations. You will design affordability analyses and ROI studies, especially within Medicaid populations and value-based care arrangements.

You will translate complex clinical interventions into financial impact, drive insights for payer performance, product strategy, and enterprise decision-making while improving scalability and reproducibility of analyses.