Senior Actuarial Analyst

Please apply if you are Actuarial SMEs – more experts in the domain who have worked as underwriters and actuaries.
We are seeking an experienced Healthcare Data & Business Consultant with strong healthcare payer domain knowledge and hands-on data expertise. The ideal candidate will bring a solid understanding of Actuarial, Underwriting, and HEDIS/Quality functions and be able to connect these business processes to the underlying data, system architecture, and data flows.
This role requires someone who can work at the intersection of healthcare business functions and data, understand how information moves across systems, identify and validate business rules and metrics, and help translate existing processes and institutional knowledge into well-defined and documented data and business definitions.
The successful candidate should be comfortable working independently with business SMEs, technical teams, and data engineers to understand both what the business is trying to accomplish and how the underlying data supports those processes.
Key Responsibilities
Develop a detailed understanding of existing healthcare payer business processes, systems, data architecture, and end-to-end data flows.
Work across payer functional areas, with particular emphasis on:
Actuarial
Underwriting
HEDIS / Quality
Claims and healthcare cost/utilization
Membership and enrollment
Provider data
Premium and related financial data
Understand how data is generated, transformed, integrated, and consumed across different systems and how those data flows support key healthcare business processes.
Partner with business SMEs to understand and document existing business rules, calculations, metrics, assumptions, and dependencies.
Reach me :
smitarani.s@panaceadirect.com

Work arrangement
Yes