Healthcare Actuary Job at The Emerald Group Ltd, Search and Selection (London)

Healthcare Actuary

The Government Actuary’s Department (GAD) offers actuarial careers that make a d...

Location

United Kingdom , London; Edinburgh

Salary:

104694.00 - 118290.00 GBP / Year

Social Value Portal Ltd

Expiration Date

February 19, 2026

Requirements

Fellow of the Institute and Faculty of Actuaries (or international equivalent)
Knowledge and experience of providing actuarial advice in relation to health (and social care)
Awareness of broader issues on which GAD advises

Job Responsibility

Develop GAD’s health expertise, supporting business development, and delivering high-quality actuarial advice on health-related projects
Play a crucial role in shaping and growing this exciting new area of work for GAD
Help develop GAD’s health proposition and establish GAD as the go-to partner in government for health-related actuarial advice
Provide leadership for the delivery of health client activities within the Health and Social Care team
Assist in developing and implementing the business plan and strategic goals for Health and Social Care, with a focus on growth and client engagement
Build and maintain a network of potential clients and stakeholders
Collaborate with the Head of Health and Social Care to design and refine GAD's service offerings
Create and nurture a pipeline of opportunities
Develop internal and client-facing materials and thought leadership
Support efforts to develop health expertise across GAD

What we offer

Exceptional learning and development opportunities
25 days annual leave per year, increasing to 30 days after 5 years’ service
9 days public and privilege days leave per year
A Civil Service pension with an employer contribution of 28.97%
5 days of paid volunteering leave
Up to 9 months maternity leave on full pay + generous paternity and adoption leave
Staff reward and recognition bonuses
Occupational sick pay
Family-friendly policies
Access to employee assistance programme

Senior Director, Benefits

The Senior Director, Benefits will lead the design, development, and execution o...

Location

United States

Salary:

147000.00 - 256300.00 USD / Year

Marriott Bonvoy

Expiration Date

Until further notice

Requirements

Bachelor’s degree or equivalent experience, plus 10+ years’ of diverse benefits leadership experience program with a history of progressive responsibility managing the benefits function within a large, global organization
Demonstrated technical depth in U.S. Benefits, with experience redesigning legacy programs applying innovative thinking and a willingness to work in the details
Skilled in stakeholder management, as well as proven ability to build and facilitate relationships and influence others at all levels of the organization, both internally and externally
Strong decision-making and organizational skills, with the ability to optimize the use of all available resources and deliver on multiple priorities

Job Responsibility

Partner with Total Rewards and Benefits leadership to develop and execute the benefits strategy
Influence senior leadership across the company to ensure support for and alignment around programs that have an impact on company performance (e.g. revenue management, workforce planning)
Manage diverse associate benefits and absence programs
Ensure benefits program materials and communications showcase Marriott’s Total Rewards programs and People First focus, leverage modern communication technologies and techniques, and resonate with a diverse population
Leverage data, insights, and trends to inform program design, strategy and performance measures
Manage vendor relationships, contractual terms and operations to deliver an exceptional experience and manage costs
Proactively stay current on industry best practices, legislative changes, and periodic market evaluations, to ensure programs are optimized, compliant and to develop recommendations for change
Collaborate with internal and external stakeholders to promote benefits programs, drive engagement, and support holistic well-being
Develop a cohesive, holistic health and wellbeing strategy to ensure Marriott offers a competitive benefits package and drives improvements in the wellbeing of associates and their families
Lead the planning, design, and implementation of all U.S. employee health, welfare and absence benefits plans, including, but not limited to, health, dental, vision, life and disability insurance, leave of absence, and time off programs

What we offer

bonus program
comprehensive health care benefits
401(k) plan with up to 5% company match
employee stock purchase plan at 15% discount
accrued paid time off (including sick leave where applicable)
life insurance
group disability insurance
travel discounts
adoption assistance
paid parental leave

Fulltime

Director, Value-Based Analytics & Actuarial Strategy

SpectraMedix is seeking an accomplished professional with an actuarial or advanc...

Location

United States , NJ

Salary:

Not provided

SpectraMedix

Expiration Date

Until further notice

Requirements

Bachelor’s or Master’s degree in Actuarial Science, Statistics, Mathematics, Health Economics, or related field
12+ years of experience in actuarial, financial, or value-based analytics roles within a consulting firm, health plan, ACO, or healthcare analytics organization
Proven understanding of value-based contracting, risk adjustment, quality metrics, and payment reconciliation processes
Strong data literacy—experience working with healthcare data (claims, cost, quality, utilization) and proficiency with analytical tools (SQL, R, Python, Excel, Power BI, etc.)
Excellent communication skills with the ability to engage payer and provider executives and translate complex analytics into actionable strategy
This role involves approximately 20–25% travel, so you should be comfortable with occasional work-related travel
Hands-on exposure to Cloud technologies, particularly Azure, AWS, and Databricks

Job Responsibility

Partner with health plans, ACOs, and health systems to design, evaluate, and enhance value-based care programs (e.g., shared savings, global capitation, incentive models)
Lead actuarial and financial analytics supporting contract modeling, risk adjustment, benchmarking, and performance measurement across multiple lines of business (Medicaid, Medicare, Commercial)
Translate analytical findings into strategic insights for clients—supporting contract development, performance improvement, and program optimization
Collaborate with internal teams (product, engineering, and client delivery) to shape product strategy and ensure that data-driven capabilities align with evolving market needs
Serve as a client-facing subject matter expert in value-based contracting, risk modeling, and performance analytics
Assist clients with defining their value-based strategy and defining an ROI
Contribute to business development activities by supporting client presentations, proposals, and thought leadership initiatives
Stay current with CMS, state Medicaid, and commercial VBP policy trends, including interoperability and quality measurement standards (HEDIS, eCQMs, DaVinci, MCP, etc.)
Be a strategic thought leader within the Company to help scale SpectraMedix into the leader in VBC software applications

What we offer

Competitive compensation, benefits, and professional growth opportunities

Data Analyst III – Medical Economics

Bright Vision Technologies is a forward-thinking software development company de...

Location

United States , Flossmoor

Salary:

Not provided

Bright Vision Technologies

Expiration Date

Until further notice

Requirements

Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance, or related field, or equivalent experience
4+ years of experience working with large datasets, data validation, and data management
Without a Bachelor’s degree: 8+ years of relevant experience required
Experience in Managed Care Analytics / Medical Economics
Hands-on experience with Medicare, Medicaid, and Marketplace analytics
Strong SQL skills, including complex queries and multiple JOINs
Advanced Excel skills: Pivot Tables, Power Query
VLOOKUP / XLOOKUP
Nested formulas, aggregations, and financial modeling
Power BI experience, including DAX and Power Pivot

Job Responsibility

Analyze large, integrated healthcare datasets including claims, provider, member, and encounter data
Identify trends, assess business impact, and deliver insights to support cost and quality initiatives
Develop, maintain, and troubleshoot complex analytical scripts and reports using SQL, Excel, and BI tools
Support large-scale analytics projects with minimal supervision and limited leadership direction
Perform root-cause analysis on data anomalies and recommend corrective actions
Design, test, and implement process improvements and automation opportunities
Collaborate cross-functionally to evaluate QAI, MLR, and KPI performance
Translate complex analytical findings into clear, data-driven recommendations for non-technical stakeholders
Manage multiple concurrent priorities while meeting tight timelines in a dynamic environment
Provide technical guidance and mentorship to junior analysts

Fulltime

Health Analytics Data Intern

As part of an industry-leading team, you will help empower results for our clien...

Location

United States , Chicago; Atlanta

Salary:

Not provided

Aon

Expiration Date

Until further notice

Requirements

Leadership engagement in extracurricular activities, reflecting strong interpersonal and collaborative capabilities
Interest working in Healthcare, Life Sciences, and Employee Benefits industries
Interest in data and analytics
Relevant coursework or internship experience
Strong written and verbal communication skills
Proficiency in Microsoft office products such as Word, PowerPoint, Excel and Outlook
Experience with SQL, Python or R
Experience with data visualization tools: Tableau/Power BI, ggplot2
Outstanding quantitative and analytical skills
Applicants should graduate between December 2026 – June 2027

Job Responsibility

Be part of a dynamic team focused on healthcare data and innovation
Prepare consulting deliverables with the use of charts, visualization tools and reporting automation to communicate end-results of technical analyses to a non-technical audience
Work on multiple projects and manage timelines, milestones and delivery efficiently
Work with large health claims and risk datasets such as eligibility data, medical claims and prescription drug claims data from multiple different sources
Develop understanding of medical claims reporting and billing for inpatient and outpatient services
Work in data analytics tools and assist in building data automation processes using various coding languages
Assist in building statistical and machine learning models to analyze healthcare costs, utilization and major drivers
Assist client teams and actuaries with ad-hoc data related requests by producing reports
Support vendor management
Assist with data validation and data quality

What we offer

10 Week Paid Program
Challenging Work on Significant Client Projects
One on One Internship Mentoring
Formal and Informal Feedback Throughout the Program
Significant on the job training and firsthand experience
Participation in formal training program taught by Aon’s Industry professionals
A competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization

Senior Data Scientist

We are seeking a Senior Data Scientist to join the Enterprise Reporting and Anal...

Location

United States

Salary:

100000.00 - 135000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

Bachelor’s, Master’s, or Ph.D. in Data Science, Computer Science, Statistics, Mathematics, Actuarial Science, or a related field
5-7+ years of experience in data science, with a strong focus on health data, claims analytics, or health insurance
Proven experience coding in either SQL and Python or R
Python preferred
Experience with health data risk models, and program evaluation statistical methodologies such as propensity score matching and difference in differences analyses
Troubleshoot and perform data audits to ensure and improve data integrity
investigate and resolve data discrepancies
Familiarity with predictive modeling, AI/ML algorithms, and working with large datasets
Understanding of healthcare regulations (HIPAA, ACA, CMS rules) (preferred)
Strong problem-solving and communication skills with the ability to translate technical findings into business strategies

Job Responsibility

Data Analysis & Modeling: Design, conduct, and manage new analytical projects, starting with project planning, hypothesis development, and data gathering, then to analysis and modeling, and through to communications and recommendations
Research & Evaluation: Leverage existing studies, literature, and analyses into current research and analysis projects
Risk Stratification: Design risk models to assess member health risks and recommend proactive interventions for cost savings and better health outcomes through care recommendations
Delivery of Results: Build presentations, reports and dashboards that translate complex data into actionable insights for decision-making
Data Engineering & Integration: Work with data engineering and data development teams to optimize data pipelines, ensure data quality, and integrate diverse health datasets
Regulatory & Compliance Analysis: Ensure models comply with HIPAA, CMS, and other regulatory guidelines while supporting analytical insights and reporting
Collaboration & Leadership: Partner with operational and client teams to present results and to drive data-driven strategies and mentor junior data scientists

What we offer

Comprehensive medical and dental coverage through our own health solutions
Mental health support and wellness programs designed by experts who get it
Flexible work arrangements that fit your life
Retirement planning support to help you build real wealth for the future
Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage
Professional development opportunities and clear career progression paths
Mentorship from industry leaders who want to see you succeed
Learning budget to invest in skills that matter to your future
Competitive base salary that rewards your success

Fulltime

Director, Payment Integrity

The Director, Payment Integrity provides strategic leadership and oversight for ...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

10 years of experience in Payment Integrity, Special Investigation Unit, or healthcare anti-fraud
7+ years of experience in management role
2+ years of experience in Vendor Partner Oversight
contracting and vendor management of external payment vendors and/or audit firms
Demonstrated success in developing and executing enterprise-wide strategies
Bachelor's Degree in business, statistics, healthcare administration or related field of study
Intermediate PC proficiency
Intermediate skill in use of office equipment
Basic skill in word processing and presentation software
Intermediate proficiency in spreadsheet, statistical analysis, query / data mining, and business intelligence software

Job Responsibility

Develop and execute enterprise-wide Payment Integrity strategy aligned with organizational objectives and cost of care targets
Lead the design, implementation, and continuous improvement of payment integrity programs, including pre- and post-payment audits, recovery, and investigative functions
Establish and maintain governance structures, including cross-functional committees, to oversee payment integrity controls and policy development
Representing the organization in internal and external forums, collaborating with industry peers, regulatory bodies, and vendor partners to share best practices and drive innovation
Stay abreast of emerging trends, technologies, and regulatory shifts in the healthcare payment integrity space
Oversee day-to-day operations, ensuring timely, accurate, and compliant claims payment and recovery activities
Direct vendor management, including contracting, performance oversight, and strategic partnerships for payment integrity solutions
Drive automation and technology adoption to enhance payment integrity processes and reporting capabilities
Lead cost-benefit analyses to determine optimal resource allocation (internal vs. outsourced functions)
Set and monitor KPIs, SMART goals, and financial targets for payment integrity initiatives

Fulltime

Director, Payment Integrity

The Director, Payment Integrity provides strategic leadership and oversight for ...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

10 years of experience in Payment Integrity, Special Investigation Unit, or healthcare anti-fraud
7+ years of experience in management role
2+ years of experience in Vendor Partner Oversight
contracting and vendor management of external payment vendors and/or audit firms
Demonstrated success in developing and executing enterprise-wide strategies
Bachelor's Degree in business, statistics, healthcare administration or related field of study
Intermediate PC proficiency
Intermediate skill in use of office equipment
Basic skill in word processing and presentation software
Intermediate proficiency in spreadsheet, statistical analysis, query / data mining, and business intelligence software

Job Responsibility

Develop and execute enterprise-wide Payment Integrity strategy aligned with organizational objectives and cost of care targets
Lead the design, implementation, and continuous improvement of payment integrity programs, including pre- and post-payment audits, recovery, and investigative functions
Establish and maintain governance structures, including cross-functional committees, to oversee payment integrity controls and policy development
Representing the organization in internal and external forums, collaborating with industry peers, regulatory bodies, and vendor partners to share best practices and drive innovation
Stay abreast of emerging trends, technologies, and regulatory shifts in the healthcare payment integrity space
Oversee day-to-day operations, ensuring timely, accurate, and compliant claims payment and recovery activities
Direct vendor management, including contracting, performance oversight, and strategic partnerships for payment integrity solutions
Drive automation and technology adoption to enhance payment integrity processes and reporting capabilities
Lead cost-benefit analyses to determine optimal resource allocation (internal vs. outsourced functions)
Set and monitor KPIs, SMART goals, and financial targets for payment integrity initiatives

Fulltime

Healthcare Actuary

The Emerald Group Ltd, Search and Selection

Location:
United Kingdom , London

Category:
Finance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
February 10, 2026

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