Actuarial and Statistical Advisor helping maintain profitability and develop statistical models. Engaging with stakeholders to analyze issues and inform decision - making processes in a hybrid work environment.
About the role
- Actuary performing actuarial analysis to ensure financial sustainability of contracts in healthcare management. Working with risk pricing and regulatory compliance in a hybrid role.
Responsibilities
- Analyze the claims experience of the administered portfolio, identifying trends, distortions and utilization risk factors.
- Perform technical calculations for rate adjustments, taking into account portfolio history, risk profile and negotiations with operators.
- Prepare actuarial studies of utilization behavior, VCMH (average medical‑hospital cost), and claim frequency and severity.
- Provide technical support for negotiations of rate adjustments with operators, supplying analytical inputs and actuarial opinions.
- Assess the financial impacts of portfolio movements.
- Produce technical and executive reports to support Executive Management, Product, Sales and Market Intelligence teams.
- Work collaboratively with Product, Data, Sales, Operations and Finance areas.
- Contribute to the development of analytical models and the automation of actuarial analyses.
Requirements
- Degree in Actuarial Science.
- Experience in the Healthcare segment required, preferably at a benefits administrator or health plan operator.
- Strong expertise in claims analysis and in calculating collective rate adjustments for group/adhesion contracts.
- Advanced Excel skills.
- Knowledge of SQL, Python and BI tools.
Benefits
- Meal and/or grocery allowance to meet your needs;
- Health insurance with co-payment;
- Dental insurance with two plan options to choose from;
- Life insurance;
- Transportation voucher;
- Birthday credit loaded to your Caju card to use as you wish;
- Capacita – exclusive training platform for our employees;
- Profit sharing (PLR);
- Breakfast at the office with fruit and snack options;
- Quality of life and well‑being program (psychological, financial, social and legal support for you and your dependents);
- Hybrid work model (3 days on-site and 2 days remote);
- Free telemedicine for you and your dependents;
- Travel Club – to help plan your vacation trips;
- TotalPass – nationwide gym partnership for health and well‑being with attractive rates;
- Perks club – discounts with various exclusive partners;
- Welcome kit for your baby;
- Extended paternity leave;
- Pharmacy benefit with fast delivery and payroll discount.
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Tech skills
Location requirements
Actuarial Consulting Director at CNA managing complex actuarial studies and pricing strategies for Umbrella and Excess Casualty. Consulting with Underwriting Partners and monitoring profitability trends.
Actuarial Analyst developing and communicating actionable insights from Claims data for specialized insurer. Collaborating with various teams and participating in predictive modeling projects.
Actuarial Intern working closely with project teams on analyses for ongoing projects in Atlantic Region Property and Casualty practice, helping clients with actuarial consulting services.
Actuarial Consultant at Marsh McLennan Agency analyzing clients’ medical and pharmacy costs. Leading analytical support, modeling, and client consultations for employee benefits programs.
Senior Healthcare Actuary at Community Health Plan of Washington developing and monitoring actuarial assumptions for product pricing. Collaborating with management for analyses and reporting on product performance.
Actuarial Analyst supporting pricing strategies for Utica National Insurance Group. Leveraging risk analysis and actuarial methodologies to enhance pricing strategies and professional development.
Actuarial Assistant supporting sustainable growth of sales and profits at Globe Life. Responsible for financial analytics, pricing assumptions, and data management in a hybrid role.
Senior Actuarial Associate preparing liability cash flow projections for Prudential's valuation and projections team. Supporting AAT, risk management, and other vital financial responsibilities.
Lead Product Owner (Actuarial) coordinating change across multiple teams within Lloyds Banking Group's collaborative Lab environment. Ensuring safe and controlled delivery aligned with technical and operational expectations.