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

95 days ago

Salary

Not specified

Bachelor Degree5 yrs expEnglishPythonSQLVBA

Job Description

• 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. • 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. • 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. • 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.

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.
  • 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

  • Comprehensive benefits package including health insurance, retirement plans, and paid time off.

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