Build actuarial models (total-cost-of-care, PMPM, MLR) from claims data to quantify Sprinter Health's long-term economic impact on payers. Partner with health plan actuaries, support commercial pricing, and ensure rigorous causal measurement of in-home care interventions.
160k – 200k/yr
Hybrid5+ YOEData Science
About the role
What you will do
Actuarial & Economic Modeling
Build total-cost-of-care, PMPM, and MLR models from claims data to quantify the long-term impact of Sprinter’s programs.
Project how interventions change cost, utilization, and risk over multi-year horizons, and quantify the uncertainty around those projections.
Produce model outputs and tables that a payer’s actuaries can plug directly into their pricing, reserving, and bid work.
Payer Credibility & Commercial Support
Represent Sprinter in MLR and medical-economics conversations with health plans; go toe-to-toe with their actuaries.
Turn analysis into value narratives that quality, risk, and finance teams can act on.
Help the commercial team price and sell Sprinter’s impact on an actuarial basis.
Measurement & Rigor
Define the yardstick for whether an intervention actually changed cost and outcomes, not just whether it correlated with them.
Partner with Data Science on the causal and experimental design behind those measurements.
Bring an honest view of the line between value we can prove and value we can only assert.
What you have done
Deep experience building actuarial or health-economic models from administrative claims: total cost of care, PMPM, utilization, trend, and risk.
Command of the methods payers price on — MLR, risk adjustment, and multi-year projection — and the judgment to know their limits.
Strong SQL and Python or R, with the ability to build and own your models end to end.
Ability to hold your own with actuaries and medical-economics teams, and to explain the analysis to non-technical stakeholders.
Honesty about causal inference — what a given design can and cannot claim.
What gives you an edge
Actuarial credentials (ASA, FSA, MAAA, or actuarial exam progress) — welcome but not required.
Payer-side, value-based-care, or risk-bearing experience; familiarity with Medicare Advantage, Stars, and risk adjustment.
Experience producing analysis that a customer or partner built into their own pricing or reserving.
Fluency with AI coding assistants (e.g., Claude Code, Cursor) in your day-to-day development workflow.
Skills
SQLPythonRactuarial modelingclaims data analysistotal cost of carepmpmmlrrisk adjustmentCausal Inferencemedicare advantage
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