Senior Actuarial Analyst — Health Plan Pricing & Forecasts

Texicare; Colorado; Hybrid; USD 110,000 - 150,000; Full time

Benefits offered by this job

401k plan with 100% match up to 6%

Day one health, Rx, vision, and dental

Life and disability insurance

Flexible spending account

Pet coverage and pet Rx discounts

Free identity theft protection

Free 2nd medical opinion service

Job summary

Texicare is seeking a Senior Actuarial Analyst or Associate Actuary to analyze healthcare and financial performance, support pricing, reserving, forecasting, and provider reimbursement. You will develop models, analyze large healthcare data, and translate findings into actionable recommendations for business decisions.

The role involves partnering with Finance, Product, Clinical, and other teams, driving analyses, and acting as a growing technical authority.

Qualifications

• A bachelor’s degree or any equivalent combination of education, training, and experience.
• Minimum of two (2) years of actuarial experience.
• Successful completion of at least four (4) SOA examinations.
• Experience performing actuarial analyses within health insurance, managed care, healthcare consulting, or a related environment.
• Experience with one or more actuarial functions such as pricing, reserving, forecasting, medical cost analysis, provider reimbursement, risk adjustment, product development, or financial planning.
• Experience developing, maintaining, and validating actuarial models and working with large and complex datasets.
• Strong analytical and problem‑solving skills with demonstrated ability to interpret results, identify meaningful trends, and develop insights or recommendations.
• Advanced proficiency with Microsoft Excel and experience with SQL and/or analytical tools or programming languages used to analyze large datasets.
• Strong written and verbal communication skills with the ability to explain analytical findings and financial implications to technical and non‑technical audiences.
• Ability to independently manage assigned work, balance multiple priorities, and collaborate effectively across functional areas.

Responsibilities

• Perform complex actuarial analyses supporting pricing, reserving, forecasting, provider reimbursement, product development, risk adjustment, and financial planning to evaluate performance, quantify risk, and support business decisions.
• Develop, maintain, and enhance actuarial models and financial projections by analyzing claims experience, medical cost trends, utilization, membership, benefit changes, provider reimbursement, and other drivers of health plan performance.
• Translate actuarial analyses into actionable insights and recommendations by evaluating assumptions, alternative scenarios, financial impacts, emerging trends, and business risks.
• Partner with Finance, Product, Clinical, Provider Network, Compliance, Underwriting, and other stakeholders to evaluate business initiatives and provide actuarial expertise that supports operational and financial decision-making.
• Communicate actuarial findings and recommendations to business partners, clearly explaining methodologies, assumptions, financial implications, risks, and potential courses of action.
• Improve actuarial methodologies, models, reporting, and analytical processes through automation, enhanced tools, and process improvements that increase accuracy, efficiency, and decision-making capabilities.

Skills

Analytical thinking

Communication skills

Independent work management

Education

Bachelor’s degree

Tools

Microsoft Excel

SQL

Python

R

SAS

Power BI

Tableau

Job description

Texicare is seeking a Senior Actuarial Analyst or Associate Actuary to analyze healthcare and financial performance, support pricing, reserving, forecasting, and provider reimbursement. You will develop models, analyze large healthcare data, and translate findings into actionable recommendations for business decisions.

The role involves partnering with Finance, Product, Clinical, and other teams, driving analyses, and acting as a growing technical authority.