Trend & Analytics Consultant Senior; Actuarial Business Consultant

Trend & Analytics Consultant Senior (Actuarial Business Consultant)

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work‑life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Trend & Analytics Consultant Senior (Actuarial Business Consultant) is a senior-level analytics role responsible for identifying, investigating, and explaining major trend drivers within an assigned business area. This role uses advanced analytical thinking, healthcare business knowledge, and data‑driven insights to uncover root causes, identify emerging issues, and inform internal and external customers of meaningful trends, risks, and opportunities. The position operates with a high degree of independence and is expected to proactively identify areas of concern, develop actionable recommendations, and influence business decisions.

The Healthcare Trend & Analytics Consultant Sr. also serves as a leader in the adoption of new tools, technologies, and analytical approaches, including artificial intelligence, automation, and advanced data visualization. This role acts as a mentor, subject matter expert, and resource for more junior analysts and cross‑functional business partners.

PLEASE NOTE:

This position is not eligible for current or future visa sponsorship.

• Identifies, monitors, and analyzes major healthcare trends within an assigned business area, including cost, utilization, clinical, operational, financial, and/or customer‑impacting trends.
• Proactively investigates emerging issues, anomalies, and performance changes to determine root causes and quantify business impact.
• Develops clear, actionable insights and recommendations that help customers and business partners understand trends and determine potential next steps.
• Translates complex data and analytics into concise, meaningful narratives for senior leaders, business partners, and non‑technical audiences.
• Leads complex analytical projects with limited direction, including defining the problem, determining the appropriate methodology, gathering and validating data, conducting analysis, and presenting findings.
• Serves as a senior analytical consultant to assigned business areas by helping frame business questions, identify key drivers, and evaluate potential solutions.
• Develops and enhances reporting, dashboards, analytical models, and monitoring tools to improve visibility into key trends and performance indicators.
• Leads adoption of new tools, technologies, and analytical capabilities, including AI‑enabled tools, automation, self‑service analytics, and advanced visualization platforms.
• Promotes responsible and effective use of AI and emerging technologies to improve analytical quality, efficiency, and insight generation.
• Identifies opportunities to improve analytical processes, standardize methodologies, reduce manual work, and increase consistency across reporting and analysis.
• Anticipates customer needs and proactively surfaces insights, risks, and opportunities before they are formally requested.
• Performs key actuarial functions including new product pricing, evaluation of the impact of new legislation, flexible benefit consulting, and special projects.
• Designs and completes special projects such as developing and maintaining experience‑rating formulae and creating and/or reviewing alternative settlement formulate and risk sharing models.
• Responsible for recommendations on pricing, marketing, product design, claims, premium and enrollment administration of business unit.
• Responsible for valuation support for business unit by interpreting financial results, variances from forecast to help identify…