Diverge Health
Empowering primary care practices to deliver the highest quality care to underserved patients
Actuarial Associate
Location
United States
Posted
2 days ago
Salary
$90K - $110K / year
Bachelor Degree2.5 yrs expEnglishAWSAzurePythonSQLTableau
Job Description
• Build, update, and refresh standard reserve models to ensure accurate financial forecasting.
• Produce and own the end-to-end production of regular reporting packages, including Primary Care Provider (PCP) insight reports and utilization metrics. Monitor medical cost trends and identify primary drivers to inform strategic interventions.
• Assist in shared savings calculations, risk adjustment (HCC) tracking, and benchmark modeling to support our VBC contracts.
• Support matched control studies and ROI analyses to evaluate the financial and clinical efficacy of population health and care management initiatives.
• Collaborate with the tech team to standardize and automate manual reporting processes, transitioning them into scalable solutions.
• Monitor and validate the integrity of the actuarial data pipeline, troubleshooting issues with data engineering partners.
• Provide foundational analytical support for ad-hoc assignments across population health, clinical, and finance departments.
Job Requirements
- Bachelor’s degree in actuarial science, Mathematics, Finance, or a related quantitative field.
- Completion of 1–3 actuarial exams (SOA or CAS) and actively pursuing credentials.
- 2–3 years of experience in an actuarial or healthcare economics role.
- Deep familiarity with medical claims data, utilization metrics, and population health concepts. Experience with Medicaid is strongly preferred.
- Strong proficiency in SQL for data extraction and validation within environments like Snowflake, AWS, or Azure.
- Advanced Excel skills; familiarity with Python, R, or SAS for automating workflows.
- Experience reporting tools like Sigma, Tableau, or Power BI.
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development