Senior Healthcare Actuarial Consultant

Blake Willson Group, LLC

. Evaluate healthcare proposal pricing, cost models, rate-development methodologies, utilization, reimbursement, trend, risk adjustment, and supporting data .

Posted 9/24/2026full-timeRemote • Virginia • United StatesSenior💰 $130,000 - $180,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare actuarial analysis, including the development and validation of pricing and utilization models. Proficient in analyzing healthcare data for quality and financial risk assessment while effectively communicating findings to stakeholders.

Highest-signal resume keywords

Healthcare Actuarial AnalysisHealthcare Pricing ModelsData AnalyticsReimbursement AnalysisPublic Trust Security Clearance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Cost ModelsRate-Development MethodologiesClaims AnalyticsUtilization AnalysisStatistical AnalysisSensitivity AnalysesScenario TestingBenchmarkingFinancial Risk AssessmentHealthcare Data Validation

Soft Skills

CollaborationCommunicationAnalytical ThinkingProblem Solving

Certifications & Qualifications

Bachelor’s Degree in Actuarial ScienceBachelor’s Degree in MathematicsBachelor’s Degree in StatisticsBachelor’s Degree in EconomicsBachelor’s Degree in Healthcare Analytics

Industry Keywords

Healthcare EconomicsManaged-Care AnalyticsProposal EvaluationGovernment AssumptionsAcquisition Documentation

About the role

Key responsibilities & impact

Evaluate healthcare proposal pricing, cost models, rate-development methodologies, utilization, reimbursement, trend, risk adjustment, and supporting data
Review solicitation requirements, evaluation criteria, data specifications, amendments, Government assumptions, and other acquisition documentation
Analyze claims, encounter, eligibility, membership, provider, utilization, reimbursement, and other healthcare data for quality, completeness, consistency, and reasonableness
Review, modify, maintain, test, and independently validate healthcare analytical and pricing models, including formulas, assumptions, inputs, outputs, and model logic
Evaluate healthcare cost projections and identify key drivers, anomalies, unsupported assumptions, methodological limitations, data deficiencies, and financial risks
Perform calculations, reconciliations, sensitivity analyses, scenario testing, benchmarking, and other analytical procedures
Compare proposal assumptions and results against historical experience, Government assumptions, independent estimates, market data, and other relevant benchmarks
Develop clarification questions, written findings, and recommendations addressing data, modeling, methodology, pricing, and potential financial risks
Collaborate with the Senior Pricing Consultant and acquisition team to support proposal evaluations, negotiations, source selection, and analysis of proposal revisions and FPRs
Maintain traceable workpapers and communicate clear analytical findings to technical, financial, acquisition, and Government stakeholders while protecting sensitive information

Requirements

What you’ll need

Must be currently authorized to work in the United States on a full-time basis
Ability to obtain a Public Trust Security Clearance
Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Economics, Healthcare Analytics, or a related field
7+ years of experience in healthcare actuarial analysis, managed-care analytics, healthcare economics, reimbursement, claims analytics, healthcare pricing, data analytics, or a related field
3+ years of recent hands-on experience developing, maintaining, materially modifying, testing, or independently validating healthcare cost, utilization, reimbursement, pricing, or rate-development models, including direct analysis of underlying healthcare data and assumptions

Benefits

Comp & perks

Major medical benefits
Dental coverage
Vision coverage
401(k)-contribution plan
Holiday and personal time off
Professional development training & certification benefits
Health & wellness subsidies
Paid time off for community service
Reasonable accommodations may be provided
Performance recognition and rewards