Remote Health Insurance Risk Analyst

Shape the Future of Health Coverage from Anywhere

Are you a detail-driven professional passionate about transforming health insurance through data analysis and risk strategy? Join a high-impact team where your expertise in health insurance analytics and risk mitigation will play a central role in safeguarding the future of coverage. With a flexible remote setup and a mission-oriented culture, this is more than a job—it's a meaningful career move.

About the Role

As a Remote Health Insurance Risk Analyst, you will evaluate health-related data to forecast risks, assess underwriting outcomes, and guide key policy decisions. Your work will directly influence coverage models, loss ratios, and compliance processes, ensuring the organization maintains financial stability and member trust.

Key Responsibilities

Risk Assessment and Modeling

• Analyze claims data, actuarial models, and trend indicators to identify current and emerging risks.
• Develop risk forecasting models tailored to diverse member populations.
• Collaborate with actuaries to validate loss projections and inform premium structures.

Policy Review and Improvement

• Review underwriting policies and recommend adjustments based on risk insights.
• Monitor industry changes and apply regulatory updates to risk evaluation practices.
• Coordinate with compliance teams to align protocols with evolving standards.

Strategic Reporting and Analytics

• Prepare detailed risk reports for executive leadership and regulatory bodies.
• Deliver strategic insights via dashboards, presentations, and briefings.
• Provide consultative support during audits and reviews.

Collaborative Decision-Making

• Partner with claims analysts, underwriters, and finance teams to guide balanced risk decisions.
• Facilitate interdepartmental meetings to share findings and align risk posture.
• Advise on risk mitigation strategies across product development, marketing, and service operations.

Work Environment

This fully remote position offers autonomy while connecting you to a driven and inclusive team. Communication channels are robust, with regular video calls, collaborative platforms, and real-time data sharing tools that support efficiency and transparency.

You’ll experience a workplace culture that values:

• Precision and accountability
• Knowledge-sharing and mentorship
• A proactive approach to continuous improvement
• Diversity of thought and equitable contribution

Tools and Technologies

Your day-to-day work will be supported by industry-leading tools such as:

• Tableau and Power BI for interactive data visualization
• Python or R for statistical modeling
• SQL and Snowflake for data querying and transformation
• SAS or similar platforms for claims data analysis
• Secure cloud platforms for remote collaboration and compliance

You’ll also use project management software like Jira or Asana to coordinate cross-functional deliverables with clarity and agility.

Required Qualifications

Core Experience

• 5+ years of experience in health insurance risk analysis, underwriting analytics, or actuarial modeling
• Proficiency in interpreting complex claims datasets and health trend patterns
• Solid understanding of regulatory environments, including ACA, HIPAA, and Medicare Advantage guidelines

Technical Competence

• Strong command of data modeling tools and SQL-based platforms
• Hands-on experience with visualization software and statistical computing
• Ability to simplify technical results for non-technical stakeholders

Professional Traits

• Analytical mindset with a passion for problem-solving
• Strong communication and organizational skills
• Adaptability to shifting priorities and emerging challenges

Preferred Qualifications

• Actuarial certification or progress toward designation (e.g., ASA or FSA)
• Background in predictive modeling within a managed care or payer environment
• Experience with machine learning approaches for health risk prediction

Career Growth and Development

This role isn’t just about what you bring—it’s about where you can go. You’ll be encouraged to shape your professional development through:

• Ongoing training programs in advanced analytics and regulatory frameworks
• Leadership pathways for roles in enterprise risk strategy or analytics management
• Sponsored attendance at top industry conferences and workshops

Impact on the Organization

Your insights will directly shape strategic outcomes, from reducing cost volatility to improving patient engagement strategies. By identifying patterns that prevent fraud or unnecessary claims, you will help preserve resources that serve vulnerable populations. This is a rare opportunity to amplify your analytical strengths while building long-term stability in healthcare access.

Compensation and Benefits

The annual salary for this role is $98,000, reflecting the strategic importance and specialization required. Additional benefits include:

• Comprehensive health, dental, and vision coverage
• Annual performance-based bonuses
• Generous paid time off and wellness days
• Home office setup stipend
• Access to virtual mental health and well-being resources
• Retirement plan with employer contributions

Why Join Us?

If you want to drive real change in healthcare, this role will place you at the intersection of insight and impact. Here, your analysis becomes action, and your strategies help secure the well-being of thousands. You won’t just be reviewing risk—you’ll be rethinking it.

Take Charge of Your Career

Your next chapter starts now. If you're passionate about data-driven decisions, thrive in an autonomous environment, and want to help redefine how risk is managed in the insurance industry, we want to hear from you.

Apply today and help reshape health insurance from the inside out.