Usenourish
Staff Data Scientist, Actuarial
New York, NY. Posted 15 days ago
The role
You will lead efforts to quantify the economic impact of Nourish care. You will design claims-based studies, develop actuarial models, and translate findings into evidence for payer partners.
What you will do
- Lead Nourish's payer value studies by designing and executing claims-based analyses.
- Develop credible causal impact estimates using study designs, matched comparison groups, and risk adjustment.
- Build actuarial models to estimate potential cost savings, PMPM impact, and ROI for health plan populations.
- Produce clear study reports and executive summaries for health plan partners.
- Work with the Commercial team to communicate findings and address actuarial and clinical questions.
- Analyze patient populations and healthcare cost drivers to identify where Nourish generates the greatest savings.
- Partner with Analytics Engineering to develop reusable datasets and repeatable analytical workflows.
Required qualifications
- 5+ years of healthcare actuarial or medical economics experience.
- Experience analyzing healthcare costs and utilization at a health plan, actuarial consultancy, employee benefits consultancy, or digital health company.
- Fluency in medical and pharmacy claims, eligibility data, and coding (ICD-10, CPT, HCPCS, NDC).
- Understanding of PMPM, cost trends, claims completion, risk adjustment, and healthcare savings analysis.
- Experience designing or conducting claims-based evaluations of care programs, healthcare vendors, or clinical interventions.
- Rigorous statistical and causal inference skills including observational study design and risk adjustment.
- Proficiency in writing clean, performant SQL and proficiency in Python or R.
- Ability to translate complex actuarial analyses into clear narratives for technical and non-technical audiences.
Nice to have
- Progress toward or completion of ASA or FSA
About the company
Nourish is a dietitian-led metabolic health clinic and AI-native digital health system. The company aims to improve people's health by making it easy to live a healthy lifestyle.