Senior Actuarial Analyst
Your Future is our Future
At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact.
We're excited to consider every qualified candidate authorized to work in the United States, although we are unable to sponsor visas for this role at this time.
Position:
Senior Actuarial Analyst
Position Summary:
The Senior Actuarial Analyst is a high-learning, high-ownership position responsible for working independently to develop subject matter expertise across multiple actuarial areas. This role focuses on designing and building net-new analytical tools and frameworks that directly support executive decision-making across various functions (e.g., pharmacy, risk adjustment, benefit analysis, etc.). Operate as an internal consultant — partnering with senior leaders to understand their business needs, then building the SQL and Excel-based tools that help them meet measurable goals. Success requires strong analytical curiosity, rigorous critical thinking, a coder's mentality, and a genuine commitment to getting things right.
Job Description:
Job Responsibilities
Model & Tool Development
Design, build, and validate actuarial and analytic models from the ground up — there are no templates or inherited frameworks to start from
Develop modular SQL code and Excel-based tool suites that run on a regular cadence to support various operational areas, such as pharmacy analytics, risk adjustment coding, MAPD bid preparation, etc.
Build tools that put actionable outputs — call lists, exhibits, utilization drilldowns — directly in the hands of the executives who need them
Formalize and adhere to team standards for model design, code documentation, and work quality
Continuously refine and improve models based on emerging data and business needs
One-Off & Strategic Analytics
Perform deep-dive, ad hoc analyses to answer complex business questions, displaying high degrees of mathematical rigor and common sense
Translate ambiguous business problems into structured analytical methodologies — beginning with discovery conversations with executive stakeholders to understand what they actually need
Present findings clearly to both technical and non-technical stakeholders to influence business decisions
Own and manage analytic projects from planning through delivery, operating with increasing independence over time
Qualifications
Bachelor's degree in a relevant field or equivalent
5+ years of relevant experience or the knowledge, skills, and abilities to succeed in the role
Intermediate SQL skills — this is the single most critical technical requirement; the ability to write precise, well-documented, complex queries is essential
Strong Excel proficiency; experience with SAS or similar tools a plus
Actuarial exam progress (ASA in process) preferred but not required — raw coding ability and intellectual drive matter more
Demonstrated ability to build analytical tools from scratch in ambiguous or unstructured environments
Strong communication skills — ability to interview an executive stakeholder, understand their goals, and translate them into an analytical specification
Openness to coaching, close collaboration, and iterative feedback during onboarding
A genuine standard of quality — someone who notices when something doesn't look right and takes the time to figure out why
Working Conditions
While performing the duties of this job, the employee works in normal office working conditions.
Pay Transparency:
Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements.
The hiring range for this position is:
$84,600.00-$113,775.00
Benefits of working at Lumeris
Medical, Vision and Dental Plans
Tax-Advantage Savings Accounts (FSA & HSA)
Life Insurance and Disability Insurance
Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)
Employee Assistance Program
401k with company match
Employee Resource Groups
Employee Discount Program
Learning and Development Opportunities
And much more...
Be part of a team that is changing healthcare!
Member Facing Position:
No- Not Member or Patient Facing Position
Location:
Virtual – Microsoft Teams
Time Type:
Full time
Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.
Disclaimer:
The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential job duties and responsibilities.
Lumeris is an EEO/AA employer M/F/V/D.