Actuary - Primary Care Organization

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Actuary - Primary Care Organization based in United States.

This role offers the opportunity to apply advanced actuarial expertise to improve healthcare decision-making and financial performance. You will analyze complex healthcare data, forecast trends, and deliver insights that support strategic business initiatives. The position combines actuarial modeling, analytics, and business partnership to influence short- and long-term organizational strategies. You will collaborate with leaders and cross-functional teams to identify opportunities, solve complex challenges, and enhance data-driven decision-making. Working remotely within a dynamic healthcare environment, you will help ensure data accuracy, financial visibility, and operational excellence. The ideal candidate is a strategic thinker who can translate sophisticated actuarial analysis into clear recommendations and measurable impact.

Accountabilities:: As an Actuary supporting a primary care organization, you will provide actuarial analytics, forecasting, and business intelligence expertise to guide strategic and operational decisions. You will ensure the accuracy and reliability of actuarial data while partnering with stakeholders to identify trends, solve challenges, and improve financial outcomes.

Collaborate with business leaders and stakeholders to understand priorities, translate business needs into actuarial analysis, and provide actionable insights.

Analyze medical claims trends, utilization patterns, cost drivers, and financial performance indicators to support business strategies.

Develop and maintain data quality processes, controls, and reporting practices to ensure accurate and consistent actuarial analysis.

Investigate data discrepancies, conduct root cause analyses, and recommend solutions to improve business intelligence capabilities.

Build financial forecasts and analyze economic, industry, and market trends to support short-, medium-, and long-term planning.

Apply actuarial models and technical expertise to evaluate financial performance, competitive positioning, pricing, reserving, and trend analysis.

Provide strategic recommendations and present actuarial findings to executives and key stakeholders.

Establish performance metrics and deliver reporting that supports forecasting, business planning, and operational improvements.

Independently manage complex actuarial challenges by evaluating variables, risks, and potential courses of action.

Requirements:

The ideal candidate brings strong actuarial expertise, healthcare analytics experience, and the ability to communicate complex findings clearly to business stakeholders. You should be comfortable working independently while applying technical skills to solve sophisticated financial and operational challenges.

Bachelor’s degree from an accredited university in the United States.

Membership in the American Academy of Actuaries (MAAA).

Fellow of the Society of Actuaries (FSA), or Associate of the Society of Actuaries (ASA) with relevant professional experience.

Experience working as an actuary in healthcare insurance areas such as Medicaid, Medicare Advantage, or commercial insurance.

Experience across multiple actuarial functions, including modeling, pricing, rate filing, reporting and analysis, reserving, or trending.

Demonstrated ability to perform actuarial analysis, interpret complex datasets, and develop business recommendations.

Strong presentation and communication skills with the ability to explain technical concepts to leadership and non-technical audiences.

Experience with healthcare actuarial analytics, medical claims analysis, forecasting, or business intelligence is preferred.

Familiarity with analytics and database tools such as SAS, SQL, Snowflake, or similar technologies is preferred.

Experience documenting actuarial analyses in accordance with professional standards, including ASOP 41, is a plus.

Ability to work remotely with a dedicated workspace and reliable high-speed internet connection.

Benefits:

Competitive annual compensation range of $129,300–$177,800, depending on experience, skills, education, certifications, and location.

Eligibility for a bonus incentive plan based on company and/or individual performance.

Remote work flexibility available across the United States.

Medical, dental, and vision insurance coverage.

401(k) retirement savings plan.

Paid time off, company holidays, and personal holidays.

Paid parental and caregiver leave.

Short-term and long-term disability coverage.

Life insurance and additional wellness-focused benefits.

Opportunities to contribute to meaningful healthcare initiatives and advance professional growth.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!  Why Apply Through Jobgether?    Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.     #LI-CL1