Senior Actuarial Analyst

Job Title :

• Data Analyst, Actuarial or Medical Economics Location : Remote Reports To : SVP, Data and Technology Who We Are Icon Health is a leading provider of value-based musculoskeletal (MSK) care, collaborating with payers and providers to enhance outcomes and experience for individuals.
• The company partners with health plans and risk-bearing providers to assume accountability for reduced total cost of care.
• By combining technology-enabled MSK providers with proactive care coordination and decision support services, Icon Health delivers multidisciplinary, evidence-based care.
• We founded Icon Health on the conviction that every patient should be genuinely delighted with their care experience.
• By prioritizing patient-centered practices, ensuring clear care goals across the entire clinical team, and placing clinicians at the heart of care delivery, we aim to transform a fragmented system into one that truly serves patients.
• Our model uses a team-based approach to care, integrating musculoskeletal expertise and primary care to achieve better patient outcomes.
• At Icon Health, we foster a culture that embraces bold thinking, rapid iteration, and practical problem-solving.
• We seek team members who relish challenging the status quo and thrive in vertically integrated roles—where ideas can swiftly move from concept to execution without layers of red tape.
• Above all, we value individuals who are eager to roll up their sleeves, tackle obstacles head-on, and create innovative solutions that improve the lives of our patients and our clinical partners.
• Who You Are We are seeking a Data Analyst with an actuarial background or medical economics focus who is passionate about transforming healthcare through data-driven insight.
• You bring rigor, precision, and creativity to quantitative analysis—balancing technical expertise with a deep understanding of healthcare economics, risk modeling, and population health.
• You’re comfortable navigating complex datasets, developing predictive models, and translating analytics into actionable recommendations for clinical, operational, and financial stakeholders.
• You thrive in cross-functional environments, collaborating with product, operations, clinical, and payer-facing teams to inform strategy and measure impact.
• You are motivated by solving complex problems that connect real human outcomes to financial and operational performance.

What You’ll Do Data Analysis & Modeling Design and execute analyses that evaluate clinical, operational, and financial performance across markets and programs.   Build and maintain actuarial models that estimate total cost of care, risk adjustment, savings performance, and value-based contract projections.   Support quarterly and annual reconciliation processes for shared savings and cost containment programs.   Develop predictive models to identify high-risk populations and opportunities for intervention.   Performance Measurement & Reporting Own key dashboards and reporting tools that track MSK performance across cost, utilization, access, and outcomes metrics.   Partner with operations and market management teams to analyze referral volumes, patient engagement, and care pathway efficiency.   Collaborate with the clinical team to assess patient-reported outcomes (PROs), treatment effectiveness, and adherence patterns.   Collaboration & Communication Serve as a key partner to the sales and contracting teams by providing actuarial input for payer proposals and renewals.   Work closely with the data engineering team to ensure data integrity, accuracy, and accessibility across claims, EMR, and operational systems.   Translate complex analyses into clear, actionable insights for leadership and external partners.   Continuous Improvement Identify gaps or inconsistencies in existing analytics workflows and propose improvements to enhance automation, accuracy, and interpretability.   Stay current with CMS, Medicare Advantage, and commercial payer methodologies related to risk adjustment, cost benchmarking, and value-based payments.   What You’ll Bring Experience 5–7  years of experience in data analytics, actuarial analysis, or healthcare financial modeling.   Prior experience with healthcare claims data, risk adjustment, or value-based care analytics strongly preferred.   Experience supporting shared savings programs, MA performance analysis, or population health contracts a plus.   Technical Skills Advanced proficiency in SQL, Python, or R for data extraction, analysis, and modeling.   Design, build, and maintain automated data pipelines to extract, transform, and load (ETL)  claims and supporting data from multiple sources into analytics-ready formats Familiarity with actuarial modeling tools (e.g., SAS, Excel VBA, Prophet) preferred.   Strong understanding of cost and utilization measures, HCC risk adjustment, and episode-based performance.   Analytical & Communication Skills Ability to synthesize complex data into concise insights and compelling visualizations.   Strong written and verbal communication skills, particularly for translating analytical findings for non-technical audiences.   Comfort presenting to senior leadership and external partners.   Mindset Detail-oriented and highly organized, with a focus on accuracy and reproducibility.   Curious, proactive, and driven to improve systems and outcomes through data.   Deeply aligned with Icon’s mission to make high-quality, value-based MSK care accessible and affordable.   What We Offer Direct Impact :