9 actuarial business analyst jobs found

External candidates: In order for your application to be correctly processed please sign-in before you apply Internal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opportunities with us! Job Title Actuarial Consultant, Commercial Pricing - Remote Requisition Number R7672 Actuarial Consultant, Commercial Pricing - Remote (Open) Location Arizona - Home Teleworkers Additional Locations Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers,...

Position Summary Location: Nashville, TN (Hybrid, In-Office Tues-Thurs) Position Summary: The Business Intelligence Analyst at Velocity Risk will work closely with the product, catastrophe modeling, actuarial, and claims teams to understand their data needs, automate tasks, develop internally facing APIs, analyze complex datasets related to catastrophe-exposed commercial property, and deliver insightful reports, dashboards, and advanced analytics. The ideal candidate will have an inherent drive to solve puzzles and use creativity to resolve complex problems. We will be looking for an individual who is able to see the forest and the trees simultaneously. Experience in the E&S catastrophe-exposed property market, business intelligence, or data analytics are a plus. The individual will need to thrive in a dynamic environment at a company that has retained its startup DNA. What will your job entail? API Development: Design and support APIs that deliver analytics...

This role will serve as the leader of the National Network Contract Analytics team for the US Employer business. The role is pivotal in driving affordability strategies, maintaining rigorous standards in the management/measurements of our network contracts, and delivering actionable insights to support provider contracting. Key Responsibilities Drive unit cost affordability planning and provide cross-functional partners with insightful projections on unit cost trends and risks. Identify and evaluate contracting opportunities partnering closely with Contracting and Network Analytic teams. Redefine our affordability goals, develop ongoing processes to monitor progress, and support Contracting in achieving those goals. Communicate progress against goals to executive leadership Influence AMP and Next Gen modeling/toolsets priorities and methodologies. Lead the development of comprehensive plan methodology for unit cost, translation factor, and...

About the Role We are building the next generation of clinical and affordability insights and we are looking for a thoughtful, innovative leader to help shape the future. In this role, you will design and deliver trend analysis capabilities that reveal the true drivers of healthcare cost and affordability across Cigna Healthcare. You will turn complex claims and non-claims data into clear insights that influence strategy, improve engagement, and support smarter decisions. You will bring curiosity, expertise, and optimism to the work-partnering across clinical, financial, and technical teams to create solutions that make healthcare more affordable and sustainable. Responsibilities Lead the design and implementation of enterprise-level clinical risk and affordability indicators that strengthen the Cigna Healthcare Risk Ecosystem and inform cost-of-care strategy. Translate complex clinical, claims, and trend research into compelling insights that guide business...

This role will serve as the leader of the National Network Contract Analytics team for the US Employer business. The role is pivotal in driving affordability strategies, maintaining rigorous standards in the management/measurements of our network contracts, and delivering actionable insights to support provider contracting. Key Responsibilities Drive unit cost affordability planning and provide cross-functional partners with insightful projections on unit cost trends and risks. Identify and evaluate contracting opportunities partnering closely with Contracting and Network Analytic teams. Redefine our affordability goals, develop ongoing processes to monitor progress, and support Contracting in achieving those goals. Communicate progress against goals to executive leadership Influence AMP and Next Gen modeling/toolsets priorities and methodologies. Lead the development of comprehensive plan methodology for unit cost, translation factor, and structure...

Actuarial Analyst II Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Actuarial Analyst II completes projects and performs complex actuarial studies. How You Will Make an Impact: Primary duties may include, but are not limited to: Performs key actuarial functions related to cost of care, understanding impact of provider and govt regulation changes and...

Become a part of our caring community The Director, Actuarial of Medicaid Pricing provides actuarial support across a broad range of actuarial and business needs for specific product lines. You will require an in-depth understanding of how organization capabilities interrelate across the function or segment. The Director, Actuarial of Medicaid Pricing will report to the Associate VP, Lead Medicaid Actuary. Key Responsibilities: Rate Advocacy Lead proactive rate advocacy efforts across assigned Medicaid markets Identify gaps between emerging experience vs. state rate assumptions Develop clear, evidence-based narratives to support rate adequacy discussions with state actuaries and regulators Partner with market CFOs and leadership to align on advocacy posture, trade-offs, and priorities Drive earlier engagement with states prior to draft rate development Represent the organization in external forums Financial Insight & Risk...

External candidates: In order for your application to be correctly processed please sign-in before you apply Internal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opportunities with us! Job Title Enterprise Risk Management Specialist - Remote Requisition Number R7693 Enterprise Risk Management Specialist - Remote (Open) Location Arizona - Home Teleworkers Additional Locations Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland -...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Principal Actuary - REMOTE Job Description The Principal Actuary is responsible for supporting the development of actuarial concepts and providing thought leadership for Prime's existing and potential owners and clients. This position will collaborate with the Senior Principal Actuary to provide strategic consulting support, manage the development of innovative actuarial modeling concepts, and provide pricing support for all lines of business. This position will also lead complex projects that are highly visible to executives and across the organization. Responsibilities Collaborate as a subject matter expert (SME) with underwriters, other areas of Prime, and senior management on pricing initiatives, data analyses,...