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Contract Actuarial Modeling Jobs (NOW HIRING)

reveleer

Senior Actuary, Health Plan Analytics

$150K - $185K/yr

... based contracts. This role builds member-level actuarial models that quantify risk adjustment performance, HCC (Hierarchical Condition Category) capture, medical economics, utilization, and ...

Nassau Re

Analyst - Actuarial

Hartford, CT

Create and maintain actuarial models that appropriately inform decision makers. * Make accurate and ... contracts as of March 31, 2026. As part of a young and growing financial services enterprise, our ...

Nassau

Analyst - Actuarial

Hartford, CT · On-site

Create and maintain actuarial models that appropriately inform decision makers. * Make accurate and ... contracts as of March 31, 2026. As part of a young and growing financial services enterprise, our ...

ConcertoCare

Sr Actuarial Analyst

Kansas City, MO · On-site

$90K - $110K/yr

... contract performance. This is an exciting opportunity for someone who enjoys turning complex ... Model Building and Development: * AI experience: extra consideration given to candidates who have ...

Lorven Technologies

Actuarial Analyst

Princeton, NJ · On-site

New Jersey Contract: 12 Months Overview We are seeking an Actuarial Analyst to support the development, testing, and maintenance of Radar-based pricing models for P&C insurance products. This role ...

Lorven technologies

Actuarial Analyst

Princeton, NJ · On-site

$60 - $70/hr

New Jersey Contract: 12 Months Overview We are seeking an Actuarial Analyst to support the development, testing, and maintenance of Radar-based pricing models for P&C insurance products. This role ...

Tuesday Health

Director Actuarial Services

Through our leading-edge care model, Tuesday Health is shaping the future of community-based ... Key Responsibilities • Lead customer settlement calculations for value-based contracts, including ...

ProAg

Associate Actuary

Maple Grove, MN · On-site

Using actuarial and predictive modeling techniques, construct policyholder profitability models for reinsurance decisioning in multi-peril crop insurance and livestock contracts * Provide ...

ProAg

Associate Actuary

Maple Grove, MN

Using actuarial and predictive modeling techniques, construct policyholder profitability models for reinsurance decisioning in multi-peril crop insurance and livestock contracts * Provide ...

Wilmington Health PLLC

Actuary

Wilmington, NC · On-site

... contracts, and other population health programs. This is a credentialed actuarial role: the ... Develop and maintain actuarial models for total cost of care, medical expense trends, utilization ...

CMZ Companies, Inc.

Actuarial Roles

Denver, CO · On-site

... contracts. * Maintenance and preparation of documentation of the capital modeling processes ... Providing required Actuarial reporting * Proactively identify data needs to support Actuarial ...

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Showing results 21-40

All JobsContract Actuarial Modeling Jobs

Contract Actuarial Modeling information

See salary details

$22K

$93.5K

$154K

How much do contract actuarial modeling jobs pay per year?

As of Aug 15, 2026, the average yearly pay for contract actuarial modeling in the United States is $93,525.00, according to ZipRecruiter salary data. Most workers in this role earn between $71,500.00 and $109,500.00 per year, depending on experience, location, and employer.

What are some typical challenges faced by contract actuarial modeling professionals, and how can they be addressed?

Contract actuarial modeling professionals often encounter challenges such as quickly adapting to different company systems, understanding unfamiliar data structures, and meeting tight project deadlines. Success in this role requires strong technical proficiency, effective communication with in-house teams, and the ability to learn new processes rapidly. Building relationships with key stakeholders and clarifying expectations at the outset can help ensure smoother project delivery and integration into the team.

What is the difference between Contract Actuarial Modeling vs Actuarial Analyst?

AspectContract Actuarial ModelingActuarial Analyst
CredentialsTypically requires actuarial exams, relevant certificationsSame as Contract Actuarial Modeling, often pursuing actuarial exams
Work EnvironmentFocus on model development, financial projections, and contract analysisData analysis, reporting, and supporting actuarial projects
Industry UsageInsurance, reinsurance, consulting firmsInsurance companies, consulting firms, financial institutions

Contract Actuarial Modeling involves developing and analyzing financial models for insurance contracts, often with a focus on pricing and reserving. Actuarial Analysts perform data analysis, prepare reports, and support modeling efforts. While both roles require actuarial exams and similar credentials, Contract Actuarial Modeling emphasizes model development and financial projections, whereas Actuarial Analysts focus more on data processing and reporting within the same industry environment.

What are the key skills and qualifications needed to thrive as a contract actuarial modeler?

To excel as a Contract Actuarial Modeler, you need strong quantitative skills, actuarial credentials (such as ASA or FSA), and a deep understanding of insurance products and risk assessment. Familiarity with actuarial modeling software (e.g., Prophet, AXIS), advanced Excel, and programming languages like VBA or Python is highly valuable. Analytical thinking, attention to detail, and effective communication are crucial soft skills for interpreting data and collaborating with cross-functional teams. These competencies ensure accurate modeling, compliance with industry standards, and support sound business decisions in a dynamic actuarial environment.

What is contract actuarial modeling?

Contract actuarial modeling refers to the process by which actuaries use mathematical and statistical techniques to assess, price, and manage the risks associated with insurance contracts or other financial agreements. Professionals in this field develop models to predict future claims, evaluate the financial impact of various contract terms, and ensure regulatory compliance. This work is essential for helping insurance companies set premiums, determine reserves, and make informed business decisions.
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Cities with the most Contract Actuarial Modeling job openings:

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Contract Actuarial Modeling jobs near you
Infographic showing various Contract Actuarial Modeling job openings in the United States as of August 2026, with employment types broken down into 87% Full Time, 10% Part Time, and 3% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $93,525 per year, or $45 per hour.

Senior Actuary, Health Plan Analytics

reveleer

Remote

$150K - $185K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 23 days ago

Job description

Senior Actuary, Health Plan Analytics
Remote Opportunity
About Reveleer
Reveleer delivers a unified platform spanning risk adjustment, quality improvement, clinical intelligence, and member management for health plans and provider organizations navigating the complexity of value-based care. Trusted by 80+ customer organizations nationwide, the platform integrates data, analytics, and intelligent workflow automation into one governed system designed to support traceable documentation across diagnoses, quality measures, and submissions. With regulatory expertise and transparent, human-in-the-loop AI at its core, Reveleer supports organizations working to advance care quality, strengthen documentation integrity, and sustain the operational readiness needed to navigate audits with confidence.
About the role
Reveleer is hiring a senior actuary to lead health plan and risk adjustment analytics for each line of business for Reveleer customers across Medicare Advantage (MA), Medicare Advantage Prescription Drug (MAPD), Affordable Care Act (ACA), Medicaid, and provider value-based contracts. This role builds member-level actuarial models that quantify risk adjustment performance, HCC (Hierarchical Condition Category) capture, medical economics, utilization, and population health trends, and translates those models into customer-facing dashboards that inform pricing, forecasting, and program strategy.
This actuary works directly with customer success, analytics, product, operations, and clinical teams to convert raw claims, encounter, member, provider, and clinical data into decision-ready outputs. The role requires both technical model-building skill and the ability to explain actuarial and risk adjustment concepts to non-actuarial stakeholders, including provider and health plan executives.
What you will do
  • Build and maintain member-level actuarial models covering risk adjustment (RAF) performance, HCC capture and recapture, medical economics, utilization patterns, and population health metrics across MA, MAPD, ACA, and Medicaid populations.
  • Develop analytics that can support rate-setting for Medicare Advantage Bids, ACA rate filings, Medicaid capitation arrangements, and value-based contract terms.
  • Reconcile RAF calculations against source files, including the Monthly Membership Report (MMR), Model Output Report (MOR), MAO-004, and the Beneficiary-Level file, and extend that reconciliation logic into customer-facing reporting.
  • Design the actuarial and analytic logic behind customer-facing dashboards, partnering with data engineering and product teams to translate member-level models into usable, accurate, and timely visualizations.
  • Produce forecasting and accrual models that support midyear and final settlement estimates, transfer payments, capital planning, and financial reporting for risk adjustment programs.
  • Analyze utilization trends, medical loss ratio (MLR) drivers, and cost-of-care patterns to identify actionable opportunities for customers managing value-based contracts.
  • Support MA and HHS RADV (Risk Adjustment Data Validation) readiness by modeling audit exposure and prioritizing chart review and coding efforts based on financial impact.
  • Communicate model methodology, assumptions, and results clearly to actuarial and non-actuarial audiences, including customer executives.
  • Partner with clinical, coding, retrieval, and provider engagement teams to align analytic outputs with chronic HCC recapture, care gap closure, and quality initiatives.

What you bring
Required qualifications
  • Seven or more years of actuarial or actuarial-adjacent analytics experience in health plan pricing, risk adjustment, or medical economics.
  • Direct pricing or performance modeling experience across at least three of the following: Medicare Advantage, MAPD, ACA, Medicaid, and value-based contracts.
  • Working knowledge of the CMS-HCC and ACA risk model, RAF score calculation, and the relationship between ICD-10 diagnosis coding and risk adjustment revenue.
  • Demonstrated experience building member-level data models that feed reporting or dashboard tools, such as Tableau or Power BI.
  • Proficiency in SQL and at least one statistical or scripting language, such as SAS, R, or Python.
  • Proficiency in utilizing AI tools to support modeling
  • Bachelor's degree in actuarial science, mathematics, statistics, economics, or a related quantitative field.
  • Strong written and verbal communication skills, with experience presenting actuarial findings to executive audiences.

Preferred qualifications
  • Associate of the Society of Actuaries (ASA) designation or Fellowship (FSA) or progress toward.
  • Experience with CMS files, including the MMR, MOR, MAO-004, and Beneficiary-Level file.
  • Experience with EDPS & EDGE encounter submissions and encounter data quality processes.
  • Prior experience supporting RADV & IVA audit readiness or chart review prioritization.
  • Familiarity with provider incentive program design tied to chronic HCC recapture or quality performance.
  • Experience with financial forecasting, including ACA transfer payments and MA settlement accruals

Tools and technical skills
SAS (Enterprise Guide), SQL, Tableau, Microsoft Excel, R and RStudio, Python, Microsoft Access, and Microsoft Visual Basic (VBA) are all relevant to this role. Reveleer does not require proficiency in every tool listed; candidates should be strong in at least three of these and comfortable learning the rest on the job.
WHAT YOU'LL RECEIVE:
• Competitive salary
• Medical, Dental and Vision benefits
• 401k match
• Generous PTO plan
Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.
Reveleer E-Verifies all new hires.
Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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