Mavenclinic
Senior Actuary, Outcomes
New York, NY; Remote, US (Hub cities). Posted 4 months ago
The role
This person will perform actuarial modeling, healthcare claims analytics, and client-facing strategy. They will support Growth and Product functions with projections, retrospective analyses, and value-based care modeling.
What you will do
- Own claims and savings projections and retrospective analyses across employer benefit programs
- Build, maintain, and scale actuarial and ROI models in Excel
- Conduct actuarial confidence evaluations for revenue recognition and financial risk assessment
- Support RFP responses with actuarial projections, benchmarking, and methodology documentation
- Perform detailed claims analytics for individual and pooled client populations
- Join sales and client success calls to speak on outcomes methodology, ROI, and actuarial assumptions
- Contribute to thought leadership through white papers, research publications, and industry conferences
- Manage external actuarial vendor relationships
Required qualifications
- An FSA, ASA, or equivalent actuarial credential (or meaningful progress toward credentialing), or a graduate degree with 6+ years of directly relevant actuarial or healthcare analytics experience
- Strong analysis design, modeling, and data manipulation skills
- Comfort working in both a coding language and in Excel
- Ability to use AI to produce and QA code for data exploration and analysis
- Excellent communication skills and comfort presenting to external audiences
- Strong project management instincts
- Deep familiarity with healthcare claims data, including medical and pharmacy claims structures, PMPM/PBPM cost modeling, and trend analysis
Nice to have
- SQL preferred
- Experience in employer-sponsored benefits, stop-loss, or managed care actuarial roles
- Familiarity with performance guarantee structures and risk-based contracting
- Experience supporting sales or growth functions in a healthcare technology or benefits company
- Background in women's health, maternity, or family benefits
- Experience with data visualization tools (Looker a plus)
Benefits
- Access to the full platform and specialists, including care for mental health, reproductive health, family planning and pediatrics
- Whole-self care through wellness partnerships
- Hybrid work, in office meals, and work together days
- 16 weeks 100% paid parental leave and new parent stipend (for Mavens who've been with us for 1 year+)
- Annual professional development stipend
- Access to a personal career coach through Maven for Mavens
- 401K matching for US-based employees, with immediate vesting
- Employer-covered health, dental, and insurance plan options
About the company
Maven Clinic is the world's largest virtual clinic for women and families. The company partners with employers and health plans to provide end-to-end women's and family health programs.