About the Company
Our client is building next-generation health insurance infrastructure that enables employers and health plans to understand and act on healthcare cost data. The platform focuses on improving transparency in healthcare pricing and helping organizations design more efficient and affordable health plans. Our client is a venture-backed healthcare technology company supported by leading investors and innovation programs from the National Institutes of Health (NIH). The team combines expertise in clinical care, healthcare data, and product development to deliver solutions that improve affordability and transparency in healthcare.

Key Responsibilities
• Health Plan Modeling: Analyze health insurance plan designs and calculate actuarial values to estimate costs and financial impact.
• Medical Claims Analysis: Process and analyze large healthcare claims datasets to identify cost trends, utilization patterns, and savings opportunities.
• Provider & Network Evaluation: Compare healthcare providers and insurance networks based on cost, quality, and performance.
• Algorithm & Product Development:



Collaborate with engineering and product teams to turn actuarial models and methodologies into scalable software tools.
• Utilization & Cost Forecasting: Evaluate how benefit designs and member incentives influence healthcare utilization and overall costs.
• Stakeholder Communication: Present actuarial findings and methodologies to business leaders, clients, and other stakeholders.
• Industry Research: Monitor healthcare pricing trends, industry standards, and emerging cost-containment strategies. Requirements
•

Experience:
5–10 years of experience in U.
S healthcare actuarial work, particularly involving medical claims data.
• Technical

Skills:
Ability to work with large and complex datasets; familiarity with SQL, Python, or R is strongly preferred.
• Domain Expertise: Strong understanding of healthcare plan design, utilization management, and provider network mechanics.
• Additional Expertise: Familiarity with price transparency data and episode-based claims bundling is highly desirable.

📌 Senior Healthcare Actuary (México)
🏢 Anonymous
📍 México