... Full Time Remote Role Summary The Lead Business Analyst provides strategic and operational ... actuarial, and technical teams. This role requires deep domain expertise, strong analytical ...
... Full Time Remote Role Summary The Lead Business Analyst provides strategic and operational ... actuarial, and technical teams. This role requires deep domain expertise, strong analytical ...
Insurance Specialist - Fully Remote | Upto $1450 Part-time
New York, NY · Remote
$1.1K - $1.4K/wk
... audits. * Annotate, label, and validate data across health insurance use cases, such as ICD coding ... Professional designations such as CEBS , AHIP , HIAA , or Fellow/ASA actuarial credentials
Quick apply
Insurance Specialist - Fully Remote | Upto $1450 Part-time
New York, NY · Remote
$1.1K - $1.4K/wk
... audits. * Annotate, label, and validate data across health insurance use cases, such as ICD coding ... Professional designations such as CEBS , AHIP , HIAA , or Fellow/ASA actuarial credentials
Working closely with Underwriting, Actuarial, Claims, Legal, and other business partners, you'll ... The role may be performed onsite in Hastings, Michigan, in a hybrid arrangement, or fully remote.
Working closely with Underwriting, Actuarial, Claims, Legal, and other business partners, you'll ... The role may be performed onsite in Hastings, Michigan, in a hybrid arrangement, or fully remote.
Working closely with Underwriting, Actuarial, Claims, Legal, and other business partners, you'll ... The role may be performed onsite in Hastings, Michigan, in a hybrid arrangement, or fully remote.
Working closely with Underwriting, Actuarial, Claims, Legal, and other business partners, you'll ... The role may be performed onsite in Hastings, Michigan, in a hybrid arrangement, or fully remote.
Working closely with Underwriting, Actuarial, Claims, Legal, and other business partners, you'll ... The role may be performed onsite in Hastings, Michigan, in a hybrid arrangement, or fully remote.
Working closely with Underwriting, Actuarial, Claims, Legal, and other business partners, you'll ... The role may be performed onsite in Hastings, Michigan, in a hybrid arrangement, or fully remote.
Working closely with Underwriting, Actuarial, Claims, Legal, and other business partners, you'll ... The role may be performed onsite in Hastings, Michigan, in a hybrid arrangement, or fully remote.
Working closely with Underwriting, Actuarial, Claims, Legal, and other business partners, you'll ... The role may be performed onsite in Hastings, Michigan, in a hybrid arrangement, or fully remote.
Working closely with Underwriting, Actuarial, Claims, Legal, and other business partners, you'll ... The role may be performed onsite in Hastings, Michigan, in a hybrid arrangement, or fully remote.
Working closely with Underwriting, Actuarial, Claims, Legal, and other business partners, you'll ... The role may be performed onsite in Hastings, Michigan, in a hybrid arrangement, or fully remote.
Audit Internship (Spring 2027)
Rochester, NY · On-site +1
$24/hr
... remote. We serve a wide variety of clients and offer many compliance and consulting services ... Training on and becoming proficient in our audit software. \n * Training on and becoming proficient ...
Audit Internship (Spring 2027)
Rochester, NY · On-site +1
$24/hr
... remote. We serve a wide variety of clients and offer many compliance and consulting services ... Training on and becoming proficient in our audit software. \n * Training on and becoming proficient ...
Working closely with Underwriting, Actuarial, Claims, Legal, and other business partners, you'll ... The role may be performed onsite in Hastings, Michigan, in a hybrid arrangement, or fully remote.
Working closely with Underwriting, Actuarial, Claims, Legal, and other business partners, you'll ... The role may be performed onsite in Hastings, Michigan, in a hybrid arrangement, or fully remote.
Principal Data Scientist (Remote)
Lansing, MI · On-site +1
... Actuarial, MLOps, and IT to deliver scalable, production-ready solutions. The Principal Data Scientist ensures long-term model performance through rigorous validation, drift monitoring, and audit ...
Principal Data Scientist (Remote)
Lansing, MI · On-site +1
... Actuarial, MLOps, and IT to deliver scalable, production-ready solutions. The Principal Data Scientist ensures long-term model performance through rigorous validation, drift monitoring, and audit ...
Principal Data Scientist (Remote)
Lansing, MI · On-site +1
... Actuarial, MLOps, and IT to deliver scalable, production-ready solutions. The Principal Data Scientist ensures long-term model performance through rigorous validation, drift monitoring, and audit ...
Principal Data Scientist (Remote)
Lansing, MI · On-site +1
... Actuarial, MLOps, and IT to deliver scalable, production-ready solutions. The Principal Data Scientist ensures long-term model performance through rigorous validation, drift monitoring, and audit ...
Contract Retirement Plan Analyst (Remote)
Baltimore, MD · On-site +1
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
Contract Retirement Plan Analyst (Remote)
Baltimore, MD · On-site +1
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
Contract Retirement Plan Analyst (Remote)
Boston, MA · On-site +1
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
Contract Retirement Plan Analyst (Remote)
Boston, MA · On-site +1
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
Contract Retirement Plan Analyst (Remote)
Reston, VA · On-site +1
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
Contract Retirement Plan Analyst (Remote)
Reston, VA · On-site +1
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
Contract Retirement Plan Analyst (Remote)
Reston, VA · On-site +1
$72K - $90K/yr
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
New
Quick apply
Contract Retirement Plan Analyst (Remote)
Reston, VA · On-site +1
$72K - $90K/yr
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
New
Contract Retirement Plan Analyst (Remote)
Atlanta, GA · On-site +1
$67K - $83K/yr
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
New
Quick apply
Contract Retirement Plan Analyst (Remote)
Atlanta, GA · On-site +1
$67K - $83K/yr
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
New
Contract Retirement Plan Analyst (Remote)
Philadelphia, PA · On-site +1
$70K - $87K/yr
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
New
Quick apply
Contract Retirement Plan Analyst (Remote)
Philadelphia, PA · On-site +1
$70K - $87K/yr
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
New
Contract Retirement Plan Analyst (Remote)
Washington, DC · On-site +1
$79K - $98K/yr
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
New
Quick apply
Contract Retirement Plan Analyst (Remote)
Washington, DC · On-site +1
$79K - $98K/yr
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
New
Contract Retirement Plan Analyst (Remote)
Boston, MA · On-site +1
$76K - $94K/yr
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
New
Quick apply
Contract Retirement Plan Analyst (Remote)
Boston, MA · On-site +1
$76K - $94K/yr
Compliance & Audit: Assist with ERISA, IRS, and DOL compliance requirements, including Form 5500 ... trustees, and actuaries. * Technical Troubleshooting: Resolve complex participant and payroll ...
New
Remote Actuarial Audit information
See salary details
$51K - $60.7K
8% of jobs
$60.7K - $70.5K
6% of jobs
$70.5K - $80.2K
1% of jobs
$80.2K - $89.9K
0% of jobs
$99.4K is the 25th percentile. Wages below this are outliers.
$89.9K - $99.6K
9% of jobs
$99.6K - $109.4K
16% of jobs
The median wage is $113.3K / yr.
$109.4K - $119.1K
22% of jobs
$125.5K is the 75th percentile. Wages above this are outliers.
$119.1K - $128.8K
18% of jobs
$128.8K - $138.5K
7% of jobs
$138.5K - $148.3K
6% of jobs
$148.3K - $158K
5% of jobs
$51K
$113.7K
$158K
How much do remote actuarial audit jobs pay per year?
As of Jul 5, 2026, the average yearly pay for remote actuarial audit in the United States is $113,678.00, according to ZipRecruiter salary data. Most workers in this role earn between $98,500.00 and $127,000.00 per year, depending on experience, location, and employer.
What is the difference between Remote Actuarial Audit vs Remote Actuarial Analyst?
| Aspect | Remote Actuarial Audit | Remote Actuarial Analyst |
|---|---|---|
| Required Credentials | Typically requires ASA or FSA, actuarial exams | Usually requires ASA or near completion of exams |
| Work Environment | Audit teams, insurance companies, consulting firms | Insurance companies, consulting firms, financial institutions |
| Industry Usage | Used for risk assessment, compliance, and audit processes | Used for pricing, reserving, and data analysis |
Remote Actuarial Audit and Remote Actuarial Analyst roles both require actuarial credentials and involve working within the insurance and financial industries. However, the audit role focuses on evaluating financial statements and compliance, while the analyst role emphasizes data analysis and pricing. Both positions are vital in insurance companies and consulting firms, but they serve different functions within the industry.
What cities are hiring for Remote Actuarial Audit jobs? Cities with the most Remote Actuarial Audit job openings:
What are the most commonly searched types of Actuarial Audit jobs? The most popular types of Actuarial Audit jobs are:
What states have the most Remote Actuarial Audit jobs? States with the most job openings for Remote Actuarial Audit jobs include:
Full-time
Posted 29 days ago
Job description
Position: Lead Business Analyst - Claims Payment Integrity (Healthcare exp must need)
Contract/Full Time
Remote
Role Summary
The Lead Business Analyst provides strategic and operational leadership for business analysis initiatives supporting Claims Payment Integrity (PI) across Medicare, Medicaid, Commercial & Employer markets. The role drives revenue impact identification, root-cause analysis, and business rule translation, while guiding analysts and influencing stakeholders across operational, actuarial, and technical teams.
This role requires deep domain expertise, strong analytical judgment, leadership in cross-functional problem solving, and an ability to work across multi-source healthcare datasets.
Key Responsibilities
• Lead end-to-end business analysis efforts across claims adjudication, payment integrity reviews, appeals, audit recovery, and FWA investigations.
• Drive revenue-based opportunity identification, including duplicate claims detection, pricing/contract errors, eligibility misalignment, underpayment/overpayment root causes, and leakage prevention.
• Serve as the primary liaison between business sponsors, PI SMEs, actuarial partners, provider teams, and technical build teams.
• Interpret healthcare guidelines, policies, contract rules, and benefit logic and translate them into actionable business rules and functional requirements.
• Lead formulation, validation, and refinement of requirements, acceptance criteria, and business rule logic for PI interventions.
• Review data quality, impact assessments, and financial projections across PI initiatives.
• Mentor and guide Business Analysts, ensuring consistency, analytical rigor, and adherence to documentation standards.
• Lead complex issue remediation: deep-dives into claim-level patterns, provider-level anomalies, pricing variances, member eligibility mismatches, and systemic process gaps.
• Support leadership-level reporting, audit responses, regulatory inquiries, and controls documentation.
• Participate in roadmap design, prioritization sessions, operational reviews, and cross-functional working groups.
Domain & Data Expertise (Required)
• Familiarity with Call Center datasets (member & provider contact/call data) for identifying navigation issues, provider abrasion signals, or member experience indicators tied to PI.
• Experience working with Provider RCM data (billing patterns, coding, prior auth, clinical documentation alignment).
• Exposure to EHR / Clinical datasets for validating medical necessity, care patterns, and crosswalks to claims.
• Experience with PI-specific reporting, including:
o Duplicate claim identification
o Pricing anomalies
o Eligibility issues & benefit mismatches
• Understanding of actuarial reporting, forecasting dashboards, or cost-of-care analytics used for PI impact sizing.
Required Qualifications
• Bachelor's degree in Business, Health Administration, Finance, or related field
• 8+ years of Business Analysis experience in Healthcare (Onshore)
• Strong leadership, decision-making, and stakeholder management skills
• Excellent analytical and problem-solving skills
• Proven experience interpreting claims adjudication rules, payment policies, or benefit structures
• Experience facilitating cross-functional workshops, JAD sessions, and requirements reviews
• Exceptional written and verbal communication
• Strong time management; ability to handle multiple priorities
• Proven ability to work independently and collaboratively
Preferred Qualifications
• Experience in Claims PI, FWA, Provider Contracting, Billing, or RCM
• Medicare / Medicaid domain depth
• SQL for data exploration, validation, and reporting
• Familiarity with PBM, eligibility logic, or provider credentialing systems
Contract/Full Time
Remote
Role Summary
The Lead Business Analyst provides strategic and operational leadership for business analysis initiatives supporting Claims Payment Integrity (PI) across Medicare, Medicaid, Commercial & Employer markets. The role drives revenue impact identification, root-cause analysis, and business rule translation, while guiding analysts and influencing stakeholders across operational, actuarial, and technical teams.
This role requires deep domain expertise, strong analytical judgment, leadership in cross-functional problem solving, and an ability to work across multi-source healthcare datasets.
Key Responsibilities
• Lead end-to-end business analysis efforts across claims adjudication, payment integrity reviews, appeals, audit recovery, and FWA investigations.
• Drive revenue-based opportunity identification, including duplicate claims detection, pricing/contract errors, eligibility misalignment, underpayment/overpayment root causes, and leakage prevention.
• Serve as the primary liaison between business sponsors, PI SMEs, actuarial partners, provider teams, and technical build teams.
• Interpret healthcare guidelines, policies, contract rules, and benefit logic and translate them into actionable business rules and functional requirements.
• Lead formulation, validation, and refinement of requirements, acceptance criteria, and business rule logic for PI interventions.
• Review data quality, impact assessments, and financial projections across PI initiatives.
• Mentor and guide Business Analysts, ensuring consistency, analytical rigor, and adherence to documentation standards.
• Lead complex issue remediation: deep-dives into claim-level patterns, provider-level anomalies, pricing variances, member eligibility mismatches, and systemic process gaps.
• Support leadership-level reporting, audit responses, regulatory inquiries, and controls documentation.
• Participate in roadmap design, prioritization sessions, operational reviews, and cross-functional working groups.
Domain & Data Expertise (Required)
• Familiarity with Call Center datasets (member & provider contact/call data) for identifying navigation issues, provider abrasion signals, or member experience indicators tied to PI.
• Experience working with Provider RCM data (billing patterns, coding, prior auth, clinical documentation alignment).
• Exposure to EHR / Clinical datasets for validating medical necessity, care patterns, and crosswalks to claims.
• Experience with PI-specific reporting, including:
o Duplicate claim identification
o Pricing anomalies
o Eligibility issues & benefit mismatches
• Understanding of actuarial reporting, forecasting dashboards, or cost-of-care analytics used for PI impact sizing.
Required Qualifications
• Bachelor's degree in Business, Health Administration, Finance, or related field
• 8+ years of Business Analysis experience in Healthcare (Onshore)
• Strong leadership, decision-making, and stakeholder management skills
• Excellent analytical and problem-solving skills
• Proven experience interpreting claims adjudication rules, payment policies, or benefit structures
• Experience facilitating cross-functional workshops, JAD sessions, and requirements reviews
• Exceptional written and verbal communication
• Strong time management; ability to handle multiple priorities
• Proven ability to work independently and collaboratively
Preferred Qualifications
• Experience in Claims PI, FWA, Provider Contracting, Billing, or RCM
• Medicare / Medicaid domain depth
• SQL for data exploration, validation, and reporting
• Familiarity with PBM, eligibility logic, or provider credentialing systems