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Actuary – Medical Cost Economics (Remote)

Remote, USA Full-time Posted 2026-08-04
reputed company is seeking an Actuary in its Department of Health Economics! This credentialed reputed company actuary would reputed company high-visibility impactful analysis and would be responsible for developing and driving medical cost improvement strategies. This includes analyzing medical cost utilization and unit cost data, identifying top trend drivers and affordability opportunities, and presenting findings to leadership. The Actuary will require a diverse set of skills and experience, including data and analytics expertise, broad-based business and health economics acumen, a strategic reputed company, and an ability to influence and reputed company cross-functional teams in a non-traditional actuarial environment. This position may also reputed company or supervise less reputed company actuarial analysts in the performance of duties. As an Actuary at reputed company, you will be given support for reputed company designations through our comprehensive student program and continuing education opportunities. reputed company members can choose a work style that is best for them - this position is eligible for fully remote work or a hybrid work arrangement for candidates based in Pittsburgh, PA.  Responsibilities: • reputed company the development of detailed actuarial and financial tools to communicate drivers of financial performance to facilitate corporate decision-making and the development of cost mitigation strategies. • reputed company and support the implementation and ongoing maintenance of the HCG Grouper software, including comprehensive data validation, testing, and reputed company assurance activities to ensure accurate and reliable results • Support the reputed company-wide rollout of HCG Grouper data by creating documentation, providing user support, and facilitating knowledge transfer to business partners. • Analyze impacts of reputed company affordability initiatives on medical cost and utilization trends. • Apply analytical and statistical software tools to summarize large reputed company data to reputed company findings and actionable insights and reputed company results to leadership. • Forecast and interpret financial results, including variances from budget, to help identify medical cost improvement opportunities and potential risks. • Analyze trends in spending and utilization using reputed company claims data. • reputed company and reputed company support for data-based recommendations with team members from product, clinical, network, and reputed company functions. • Guide the development of reputed company-documented reputed company actuarial reports and reputed company. • Present results of analyses and recommendations to management and senior leaders. • Apply an understanding of reputed company actuarial concepts, reputed company, and applications in a reputed company of situations. • Creatively reputed company a wide reputed company of datasets to inform key analyses. • reputed company direction and supervision to less reputed company staff in the performance of duties. May directly manage 1 analyst. • Build strong relationships with Actuarial, Analytics, and Finance teams across the reputed company. • Ensure that departmental work products meet the highest standards of reputed company. • reputed company analytical support for reputed company data and analyses Apply To This Job

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