Icon Health

Complete navigation and care delivery for all Musculoskeletal (MSK) conditions

Senior Actuarial Analyst

ActuaryActuaryFull TimeRemoteTeam 11-50H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

2 days ago

Salary

Not specified

No structured requirement data.

Job Description

 

Job Title: Data Analyst, Actuarial or Medical Economics
Location: Remote
Reports To: SVP, Data and Technology


Who We Are

Icon Health is a leading provider of value-based musculoskeletal (MSK) care, collaborating with payers and providers to enhance outcomes and experience for individuals. The company partners with health plans and risk-bearing providers to assume accountability for reduced total cost of care. By combining technology-enabled MSK providers with proactive care coordination and decision support services, Icon Health delivers multidisciplinary, evidence-based care.

We founded Icon Health on the conviction that every patient should be genuinely delighted with their care experience. By prioritizing patient-centered practices, ensuring clear care goals across the entire clinical team, and placing clinicians at the heart of care delivery, we aim to transform a fragmented system into one that truly serves patients. Our model uses a team-based approach to care, integrating musculoskeletal expertise and primary care to achieve better patient outcomes.

At Icon Health, we foster a culture that embraces bold thinking, rapid iteration, and practical problem-solving. We seek team members who relish challenging the status quo and thrive in vertically integrated roles—where ideas can swiftly move from concept to execution without layers of red tape. Above all, we value individuals who are eager to roll up their sleeves, tackle obstacles head-on, and create innovative solutions that improve the lives of our patients and our clinical partners.


Who You Are

We are seeking a Data Analyst with an actuarial background or medical economics focus who is passionate about transforming healthcare through data-driven insight. You bring rigor, precision, and creativity to quantitative analysis—balancing technical expertise with a deep understanding of healthcare economics, risk modeling, and population health. You’re comfortable navigating complex datasets, developing predictive models, and translating analytics into actionable recommendations for clinical, operational, and financial stakeholders.

You thrive in cross-functional environments, collaborating with product, operations, clinical, and payer-facing teams to inform strategy and measure impact. You are motivated by solving complex problems that connect real human outcomes to financial and operational performance.


What You’ll Do

Data Analysis & Modeling

  • Design and execute analyses that evaluate clinical, operational, and financial performance across markets and programs.
     
  • Build and maintain actuarial models that estimate total cost of care, risk adjustment, savings performance, and value-based contract projections.
     
  • Support quarterly and annual reconciliation processes for shared savings and cost containment programs.
     
  • Develop predictive models to identify high-risk populations and opportunities for intervention.
     

Performance Measurement & Reporting

  • Own key dashboards and reporting tools that track MSK performance across cost, utilization, access, and outcomes metrics.
     
  • Partner with operations and market management teams to analyze referral volumes, patient engagement, and care pathway efficiency.
     
  • Collaborate with the clinical team to assess patient-reported outcomes (PROs), treatment effectiveness, and adherence patterns.
     

Collaboration & Communication

  • Serve as a key partner to the sales and contracting teams by providing actuarial input for payer proposals and renewals.
     
  • Work closely with the data engineering team to ensure data integrity, accuracy, and accessibility across claims, EMR, and operational systems.
     
  • Translate complex analyses into clear, actionable insights for leadership and external partners.
     

Continuous Improvement

  • Identify gaps or inconsistencies in existing analytics workflows and propose improvements to enhance automation, accuracy, and interpretability.
     
  • Stay current with CMS, Medicare Advantage, and commercial payer methodologies related to risk adjustment, cost benchmarking, and value-based payments.
     


What You’ll Bring

Experience

  • 5–7  years of experience in data analytics, actuarial analysis, or healthcare financial modeling.
     
  • Prior experience with healthcare claims data, risk adjustment, or value-based care analytics strongly preferred.
     
  • Experience supporting shared savings programs, MA performance analysis, or population health contracts a plus.
     

Technical Skills

  • Advanced proficiency in SQL, Python, or R for data extraction, analysis, and modeling.
     
  • Design, build, and maintain automated data pipelines to extract, transform, and load (ETL)  claims and supporting data from multiple sources into analytics-ready formats
  • Familiarity with actuarial modeling tools (e.g., SAS, Excel VBA, Prophet) preferred.
     
  • Strong understanding of cost and utilization measures, HCC risk adjustment, and episode-based performance.
     

Analytical & Communication Skills

  • Ability to synthesize complex data into concise insights and compelling visualizations.
     
  • Strong written and verbal communication skills, particularly for translating analytical findings for non-technical audiences.
     
  • Comfort presenting to senior leadership and external partners.
     

Mindset

  • Detail-oriented and highly organized, with a focus on accuracy and reproducibility.
     
  • Curious, proactive, and driven to improve systems and outcomes through data.
     
  • Deeply aligned with Icon’s mission to make high-quality, value-based MSK care accessible and affordable.
     


What We Offer

  • Direct Impact: Play a pivotal role in shaping analytics that directly inform care delivery and business strategy.
     
  • Agile Environment: A small, vertically integrated team that empowers quick decisions and nimble execution.
     
  • Competitive Benefits: Comprehensive benefits package including health insurance, retirement plans, and paid time off.
     
  • Yearly Salary: Commensurate with experience
     
  • Full Benefits and Employee-Funded 401(k)
     

 

Job Requirements

  • 5–7 years of experience in data analytics, actuarial analysis, or healthcare financial modeling.
  • Prior experience with healthcare claims data, risk adjustment, or value-based care analytics strongly preferred.
  • Experience supporting shared savings programs, MA performance analysis, or population health contracts a plus.
  • Advanced proficiency in SQL, Python, or R for data extraction, analysis, and modeling.
  • Design, build, and maintain automated data pipelines to extract, transform, and load (ETL) claims and supporting data from multiple sources into analytics-ready formats.
  • Familiarity with actuarial modeling tools (e.g., SAS, Excel VBA, Prophet) preferred.
  • Strong understanding of cost and utilization measures, HCC risk adjustment, and episode-based performance.
  • Ability to synthesize complex data into concise insights and compelling visualizations.
  • Strong written and verbal communication skills, particularly for translating analytical findings for non-technical audiences.
  • Comfort presenting to senior leadership and external partners.
  • Detail-oriented and highly organized, with a focus on accuracy and reproducibility.
  • Curious, proactive, and driven to improve systems and outcomes through data.
  • Deeply aligned with Icon’s mission to make high-quality, value-based MSK care accessible and affordable.

Benefits

  • Play a pivotal role in shaping analytics that directly inform care delivery and business strategy.
  • A small, vertically integrated team that empowers quick decisions and nimble execution.
  • Comprehensive benefits package including health insurance, retirement plans, and paid time off.
  • Yearly Salary: Commensurate with experience.
  • Full Benefits and Employee-Funded 401(k).

Related Categories

Related Job Pages

More Actuary Jobs

Full TimeRemoteTeam 29,597

The Actuary will serve as a subject matter expert on Statutory, GAAP, and Tax valuation standards, leading the implementation and analysis of evolving standards like LDTI and PBR. Key duties include owning monthly/quarterly valuation processes, maintaining controls and documentation, and collaborating with Tax, Controllership, and Pricing teams.

United States
$138K - $206K / year

AVP, Actuarial Models

F&G

Experience the power of collaborative thinking.

Actuary3 days ago
Full TimeRemoteTeam 501-1,000Since 1959H1B No Sponsor

AVP overseeing Actuarial Models at Fidelity & Guaranty Life Insurance Company

United States

Actuarial Analyst 2, Analytics, Forecasting

Humana

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.

Actuary3 days ago
Full TimeRemoteTeam 10,001+Since 1961H1B Sponsor

Actuarial Analyst analyzing financial data for Humana

California + 3 moreAll locations: California, Illinois, Montana, South Dakota
$80.9K - $110.3K / year

Actuarial Analyst

Athena Actuarial Consulting

Boutique consulting firm providing actuarial services, data analytics and people-centered strategies.

Actuary3 days ago
Full TimeRemoteTeam 11-50Since 2020

Actuarial Analyst providing insights for healthcare programs

SQL
United States
$63K - $74K / year