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Lead analytics and consulting engagements for large commercial health plan clients. Use SQL, R/Python, and Tableau/Power BI to analyze claims and population health data, present findings to C-suite, design data layers and coding standards, and drive scalable, high-impact solutions across stakeholders.

The Staff Actuary evaluates financial theories and statistics to inform company decisions, focusing on pricing, underwriting, and forecasting. Requires strong communication and technical skills.

This role manages the implementation and analysis of actuarial models for pricing and underwriting, develops complex models, and prepares presentations. Requires experience in actuarial functions within health insurance and communication skills for training and documentation.

Lead analytic initiatives by constructing forecasts, recommendations, and strategic plans from internal and external data. Produce datasets and reports, build dashboards, analyze complex healthcare financial and medical data, identify trends, and present insights to senior leadership. Guide cross-functional teams to drive execution and cost-containment strategies.

Manage and supervise healthcare and internal fraud investigations (IL Medicaid focus), train investigators and support staff, coordinate with law enforcement and internal departments, maintain evidence integrity, produce reports, and ensure compliance with fraud reporting and HIPAA.

Lead large, complex projects or programs (Individual & Family Market or Medicaid) end-to-end: manage scope, budget, schedule, risks, dependencies, stakeholders, and delivery using SDLC and HCSC delivery models (OWF, Scrum, XP). Drive cross-functional teams, facilitate meetings, monitor value delivery, and ensure in-person collaboration in a hybrid work model.

Research and resolve complex producer/GA/marketing commission inquiries, apply commission program rules, process monthly exception reports, and execute producer/GA bonus payments. Communicate with stakeholders and use PC tools to support accurate commission and payroll processing.

The Privacy Office Administrator will analyze, draft, and negotiate agreements, ensuring compliance with privacy regulations and facilitating privacy initiatives.

Lead end-to-end, AI- and technology-enabled enterprise transformations: identify opportunities, design operating models, govern investment portfolios, drive execution, realize measurable value, and build high-performing transformation and change-management teams while partnering with senior business and IT leaders.

Support governance and oversight of business resiliency programs: conduct BIAs and risk assessments, develop and review continuity plans for business units, third parties and subsidiaries, run exercises and awareness activities, facilitate lessons-learned, maintain policies and reporting, lead projects, and assist in program evaluations to strengthen recovery readiness.