Senior Actuary, Outcomes

This is a fully remote position, open to applicants in New York.

📋 Description

• Take ownership of claims and savings projections along with retrospective analyses for Maven's employer benefit programs, which include performance guarantee assessments, value-based care arrangement modeling, and spend and enrollment projections across Maven's comprehensive program portfolio.

• Develop, maintain, and enhance Maven's actuarial and ROI models in Excel, ensuring methodological soundness while integrating these models into team workflows for self-service utilization.

• Execute actuarial confidence evaluations to guide revenue recognition decisions and assess financial risks associated with value-based arrangements.

• Assist in RFP responses by providing actuarial projections, benchmarking data, and documentation of methodologies.

• Conduct detailed claims analytics for both individual and pooled client populations, including assessing performance guarantees based on claims data evaluations.

• Participate in sales and client success discussions, including interactions with brokers and benefits consultants, to communicate with authority on outcomes methodology, ROI, and actuarial assumptions.

• Contribute to thought leadership through the creation of white papers, research publications, and participation in industry conferences, while partnering with Marketing to engage actuarial and benefits audiences.

• Oversee external actuarial vendor relationships, acting as the owner and subject matter expert on scoping and quality of deliverables.

⛳️ Requirements

• An FSA, ASA, or equivalent actuarial credential (or significant progress toward credentialing), or a graduate degree accompanied by 6+ years of directly relevant actuarial or healthcare analytics experience.

• Proficient in analysis design, modeling, and data manipulation, with an aptitude for synthesizing findings into clear, client-ready outputs.

• Comfortable working in both a coding language (preferably SQL) and Excel, with a strong capability to leverage AI for producing and quality-assuring code for data exploration and analysis.

• Exceptional communication skills, with the ability to present to external audiences (e.g., clients), including experience in conveying technical material to non-technical audiences.

• Strong project management instincts, capable of managing competing priorities and self-directing in an unstructured environment.

• Extensive familiarity with healthcare claims data, encompassing medical and pharmacy claims structures, PMPM/PBPM cost modeling, and trend analysis.

• A passion for enhancing maternal and family health outcomes through data-driven innovation.

🏝️ Benefits

• Maven for Mavens: access to the complete platform and specialists, covering mental health, reproductive health, family planning, and pediatrics.

• Whole-self care through wellness partnerships.

• Hybrid work environment, in-office meals, and collaborative workdays.

• 16 weeks of 100% paid parental leave and a new parent stipend (for Mavens who have been with us for 1 year or more).

• Annual professional development stipend and access to a personal career coach through Maven for Mavens.

• 401K matching for US-based employees, with immediate vesting.