Actuarial Associate
At Diverge Health we are passionate about improving health access and outcomes for those most in need. We partner with primary care providers to improve the engagement and management of their Medicaid patients, offering independent practices with specialized resources and clinical programs to close gaps in care. Our teams work to address medical, social and behavioral patient needs, lowering healthcare costs and improving patient lives. Guided by our core values of humility, continuous learning and feeling the weight, our team is on a mission to strengthen communities from within, unlocking people's ability to live their healthiest lives.
We are looking for an Actuarial Associate to support our growing Finance team! Reporting to the Director of Actuary and Healthcare Economics, in this role, you will help strengthen the financial and analytical foundation that supports our value-based care partnerships. Your work will directly inform leadership decisions, improve contract performance, and ensure we are delivering meaningful impacts for Medicaid patients and the providers who serve them.
What you’ll do
As an Actuarial Associate, you will be responsible for maintaining our core reserve models and delivering actionable reporting. By building the technical foundation for our core financial and Value-Based Care (VBR) analytics, you will provide the environment necessary for leadership to focus on advancement of risk contract performance and associated ad-hoc assignments. Additionally, you will act as a key liaison between the finance and technology teams, helping to modernize our data pipelines while providing the analytical foundation needed for advanced payer-facing and population health initiatives.
Key areas you’ll add value:
- Build, update, and refresh standard reserve models to ensure accurate financial forecasting.
- Produce and own the end-to-end production of regular reporting packages, including Primary Care Provider (PCP) insight reports and utilization metrics. Monitor medical cost trends and identify primary drivers to inform strategic interventions.
- Assist in shared savings calculations, risk adjustment (HCC) tracking, and benchmark modeling to support our VBC contracts.
- Support matched control studies and ROI analyses to evaluate the financial and clinical efficacy of population health and care management initiatives.
- Collaborate with the tech team to standardize and automate manual reporting processes, transitioning them into scalable solutions.
- Monitor and validate the integrity of the actuarial data pipeline, troubleshooting issues with data engineering partners.
- Provide foundational analytical support for ad-hoc assignments across population health, clinical, and finance departments.
What you bring:
- Bachelor’s degree in actuarial science, Mathematics, Finance, or a related quantitative field.
- Completion of 1–3 actuarial exams (SOA or CAS) and actively pursuing credentials.
- 2–3 years of experience in an actuarial or healthcare economics role.
- Deep familiarity with medical claims data, utilization metrics, and population health concepts. Experience with Medicaid is strongly preferred.
- Strong proficiency in SQL for data extraction and validation within environments like Snowflake, AWS, or Azure.
- Advanced Excel skills; familiarity with Python, R, or SAS for automating workflows.
- Experience reporting tools like Sigma, Tableau, or Power BI.
Personal Characteristics
- An empathetic, humble, and highly conscientious teammate who inspires and motivates others.
- Strength in authentically connecting with people from all walks of life.
- A self-starter who takes initiative, owns outcomes, and follows through with accountability.
- Ambitious and driven to continuously improve — both personally and in the impact of your work.
- Curious, analytical, and open to continuous learning and growth.
This is a full-time, exempt, salaried position. Commensurate on candidate experience, the expected base salary range for this role is $90,000-$110,000.
At this time, we are unable to support hiring in Alaska and Hawaii due to our primary operations being based in the Eastern and Central time zones.
Our Investors
Diverge Health is funded by GV and incubated by Triple Aim Partners, which since 2019 has partnered with entrepreneurs to co-found and launch eight companies focused on improving the quality, experience and total cost of healthcare.
At Diverge Health we believe that a diverse set of backgrounds and experiences enrich our teams and enable us to realize our mission. If you do not have experience in all areas detailed above, we encourage you to share your unique background with us and how it might be additive to our team.
Special Considerations
Diverge Health is dedicated to the principles of Diversity, Equity and Inclusion and Equal Employment Opportunities for all employees and applicants for employment. We do not discriminate on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, reproductive health decisions, family responsibilities or any other characteristic protected by the federal, state or local laws. Our decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance and business needs.
At this time, we are unable to support hiring in Alaska and Hawaii due to our primary operations being based in the Eastern and Central time zones.
