Senior Actuarial Analyst, Client Actuarial

Role Description

The Senior Actuarial Analyst, Client Actuarial reports to the Director of Actuarial Services and plays a key role in supporting the financial and compliance aspects of client contracts. This position partners closely with cross-functional teams including actuarial, medical economics, IT, and Client Partnerships to deliver data-driven insights that influence financial performance and strategic decisions. The ideal candidate is highly analytical, comfortable working with large healthcare datasets, and able to translate complex analyses into clear, actionable insights for diverse audiences.

• Apply actuarial principles to analyze healthcare claims data and identify key cost and utilization trends
• Develop, maintain, and enhance actuarial projection models to support financial forecasting
• Analyze and reconcile actuarial inputs and outputs to ensure accuracy and consistency
• Maintain IBNR and other forecasting models to support performance monitoring
• Partner with internal and external actuaries, including support for quarterly revenue reconciliation
• Work within Databricks and SQL environments to extract, prepare, and structure data for actuarial analysis
• Identify meaningful trend drivers and connect findings to financial outcomes
• Present models, analyses, and insights during internal and client-facing meetings
• Support opportunity analyses for prospective clients and growth opportunities within existing accounts
• Collaborate cross-functionally to support contract performance and compliance requirements

Qualifications

• Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or a related field
• Successful completion of at least four (4) actuarial exams
• Minimum of three (3) years of actuarial experience in the healthcare or managed care industry
• Knowledge of healthcare claims, utilization trends, and/or managed care environments
• Advanced proficiency in Microsoft Excel for modeling and data analysis
• Proficiency in SQL and experience working with large enterprise data warehouses
• Experience building, modifying, and optimizing data tables and datasets
• Intermediate to advanced Power BI skills
• Analytical thinking and ability to translate data into clear, actionable insights
• Excellent communication skills with the ability to explain complex concepts to non-technical audiences
• Demonstrates an entrepreneurial mindset with the ability to take initiative, operate independently, and effectively manage priorities in a fast-paced, ambiguous environment
• Experience with Python or R preferred
• Experience in Commercial, Medicaid and Medicare analysis preferred
• Experience with CMS shared savings programs preferred

Benefits

• Comprehensive Benefits: Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
• Financial & Retirement Support: Competitive compensation, 401k with employer match, and financial wellness resources
• Time Off & Leave: Paid holidays, flexible vacation time/PSSL, and paid parental leave
• Wellness & Growth: Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

Company Description

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.

Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.