9 actuarial business analyst jobs found

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...

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 Senior Actuarial Analyst - REMOTE Job Description The Senior Actuarial Analyst is responsible for providing complex actuarial and pricing analyses to Prime's existing and potential clients. This role will use, build, and develop innovative actuarial modeling concepts to assist strategically on trend, benefit design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role will also provide actuarial support in complex projects that are highly visible to senior leadership and across the organization. Responsibilities Own, build, support, and maintain financial and complex actuarial models Lead, perform, and review data analyses, reporting, and projections Lead,...

Analyze the performance of the line or book of business, provides product strategy recommendations to divisional and departmental leadership. Evaluate and track competitor products, pricing information and target markets. Research competitor pricing and rating programs providing analysis to the business for pricing enhancements and new products. May specialize in product management and product development accountabilities depending upon business need. You will report to the Senior Manager, Product. In this hybrid role, you will be expected to work a minimum of 10 days per month from the office. Candidates should reside within approximately 35-50 miles of one of the following office locations: Madison, WI 53783 or Boston, MA 02110. Internal candidates are encouraged to apply regardless of location and will be considered based upon the needs of the role. #LI-Hybrid Candidates who require sponsorship will not be considered for this position. Position Compensation Range:...

JOB REQUIREMENTS: NAME OF EMPLOYER: Johnson Controls, Inc. POSITION TITLE: Pricing Analyst POSITION LOCATION: 5757 N Green Bay Ave, Glendale, WI 53209 JOB DESCRIPTION: Develop pricing, research various dimensions of ratemaking, and compare cost factors (2.5%). Work independently, but within a collaborative team environment (5%). Interact with other teams such as Engineering, Sales and Customer Service (2.5%). Perform quantitative pricing analyses to optimize overall profitability and to drive continuous improvement activities (8.75%). Create a multiple-category pricing strategy for JCI customers (2.5%). Target specific named competitors and identify strategic market alignment which can be variable by category (2.5%). Exhibit strong critical thinking, problem solving, and technical knowledge to challenge business assumptions and develop new methods, models, and analyses that inform JCI\'s policies, pricing, and customer programs (8.75%). Demonstrate a continuous learning mindset...

Company : Highmark Health Job Description : JOB SUMMARY This job is a senior level actuarial analyst position. Participates in Highmark's Actuarial Executive Development Program and is expected to make continued progress towards actuarial credential. Utilizes experience and industry knowledge to define & diagnose a problem, outline data requirements for a study or analysis, and devise potential solutions. Guides and mentors less experienced staff and provides decision support to team members while initiating and leading the development of actuarial studies, analyses, and presentation materials needed to appropriately inform decision makers and making appropriate recommendations to management. Will work to develop efficient processes and will apply actuarial techniques and statistical analysis to several functions which may include insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis,...

Become a part of our caring community The Clinical Strategy Team is a multi-disciplinary team focused on using data analysis and clinical acumen to build strategies that improve experiences for our members and providers, drive positive health outcomes, and reduce total cost of care. We are seeking a Clinical Strategy Lead to advance our strategy to ensure our members get the highest quality care. This includes supporting our members going to the highest quality providers, while also understanding root causes of high and low quality care and building strategies to improve quality of care offered. This will involve close partnership with analytical and clinical SMEs to build the strategy and approach, and operational business partners to bring strategies to life. Purpose is to help our members achieve optimal health outcomes and cost-effective care. The Clinical Strategy Lead will lead high-value, strategic initiatives that directly impact health outcomes and total cost of...

We're seeking a senior predictive modeler to join our Property & Casualty Actuarial team to develop scalable analytics and predictive modeling solutions that drive business decisions. In this role, you'll explore and synthesize large, complex datasets; frame hypotheses and research approaches; and build, deploy, and monitor statistical and machine learning models (GLM/GBM preferred) that support pricing, reserving, and other actuarial objectives. You'll combine strong business acumen with advanced quantitative methods and modern software engineering practices-especially Python-based development, testing, and source control-to deliver reliable, production-ready solutions and actionable insights Position Compensation Range: $88,000.00 - $145,000.00 Pay Rate Type: Salary Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates. Responsibilities: Uses actuarial and technical...

Become a part of our caring community and help us put health first The Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to mitigate cost trend and improve health outcomes. The Director, Clinical Pharmacy requires an in-depth understanding of how organization capabilities interrelate across the function or segment. Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the Humana enterprise, HPS executive leaders as well as engagements with external vendors. Job Description The Director, HPS Clinical Programs requires a broad understanding of pharmacy, managed care, and patient centered clinical programs with a focus on...

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Actuarial Senior Manager - Consulting (Healthcare) The Opportunity EY is seeking an Actuarial Senior Manager to join our Healthcare Consulting practice. This role supports multidisciplinary consulting teams by providing actuarial and analytical leadership across complex client engagements involving health plans, managed care organizations, and healthcare-adjacent entities. In addition to deep actuarial expertise, this role emphasizes technology-enabled analytics, AI-supported insights, and external thought leadership, helping clients modernize actuarial, finance, and decision-support capabilities while addressing regulatory, financial, and operational challenges. Key Responsibilities Actuarial &...