STEM OPT Health Actuary Jobs
Health Actuary roles in insurance, managed care, and consulting qualify for STEM OPT because actuarial science, mathematics, and statistics CIP codes are all STEM-designated. Your employer must be enrolled in E-Verify, and the 24-month STEM OPT extension gives you up to 36 months total to build credentials toward fellowship exams and long-term sponsorship.
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Get Access To All JobsCareers With Purpose
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Facility: GSS National Campus
Location: Sioux Falls, SD
Address: 4800 W 57th St, Sioux Falls, SD 57108, USA
Shift: 8 Hours - Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $49.50 - $81.50
Job Summary
The Staff Actuary will be required to provide experienced data work flow programming and data-mining skills. Work closely with a multitude of departments, to rapidly understand and navigate new situations, and create solutions, on-the-go analysis and data development for a broad range of financial and actuarial functions. This includes: product pricing and rate reviews, financial planning and forecasting, trend analysis, product development, provider reimbursement analysis, fee schedule development, provider risk analysis, and medical cost containment analysis. Perform analytic project work assigned by manager with minimal supervision. Deliver accurate claims/encounter data analysis. Provide strong mathematical modeling techniques and statistical concepts to determine probabilities and assess risks. Develop analytic project plan to meet defined objectives. Facilitate planning and review sessions. Collaborate with leader(s) in defining project objectives, and design components of larger projects. May manage one or more large projects. Use data systems and query tools to complete work projects, developing new code and tools to meet objectives. Design and build technical processes to address business issues.
Develop criteria to validate results in light of prior expectations. Investigate unusual results and offers explanations. Examine and interpret results in the context of the specific business questions being addressed. Identify new questions and/or unforeseen data complexities arising from results and takes steps to address them. Integrate information from multiple sources to interpret results in larger business context. Perform and support trend analysis. Perform risk adjustment analytical studies that involve manipulations of large amounts of data. Identify patterns and trends in diagnostic coding practice in conjunction with risk score measurement.
Conduct gap analysis and data collection and validation. Stay abreast of government regulations as related to the 3R's. Conduct complex actuarial analyses to assess risk scores. Create data-driven solutions for capturing risk and improving quality of care for our members. Perform vendor return on investment analyses to determine ongoing benefit and decision support. Develop and execute work plans that may involve collaboration with more than one team. Identify systems and operational problems, and recommend solutions and changes to streamline procedures for more effective reporting. Perform root cause analysis. Analyze enrollment and claims data for patterns and trends to identify opportunities to improve documentation and coding. Conduct Monthly P&L financial reconciliations and frequent liaisons with the Finance team. Present reports, explaining their implications to managers and directors, and advising on risk ranges. Communicate with internal clients and carrying out relationships with financial directors and stakeholders.
Conduct Ad-hoc modeling and projects. Conduct other responsibilities as assigned.
Qualifications
Bachelor’s degree in Mathematical Statistics, Mathematics, Actuarial Science, Public Policy Analysis, Mathematical Economics, or Finance required.
Health insurance experience preferred. Experience in data and analytic skills using SQL, SAS or python coding required.
Requires Associate in the Society of Actuaries (ASA).
Benefits
Sanford offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits.
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.
Sanford has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
Req Number: R-0255728
Job Function: Health Plan
Featured: No
Careers With Purpose
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Facility: GSS National Campus
Location: Sioux Falls, SD
Address: 4800 W 57th St, Sioux Falls, SD 57108, USA
Shift: 8 Hours - Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $49.50 - $81.50
Job Summary
The Staff Actuary will be required to provide experienced data work flow programming and data-mining skills. Work closely with a multitude of departments, to rapidly understand and navigate new situations, and create solutions, on-the-go analysis and data development for a broad range of financial and actuarial functions. This includes: product pricing and rate reviews, financial planning and forecasting, trend analysis, product development, provider reimbursement analysis, fee schedule development, provider risk analysis, and medical cost containment analysis. Perform analytic project work assigned by manager with minimal supervision. Deliver accurate claims/encounter data analysis. Provide strong mathematical modeling techniques and statistical concepts to determine probabilities and assess risks. Develop analytic project plan to meet defined objectives. Facilitate planning and review sessions. Collaborate with leader(s) in defining project objectives, and design components of larger projects. May manage one or more large projects. Use data systems and query tools to complete work projects, developing new code and tools to meet objectives. Design and build technical processes to address business issues.
Develop criteria to validate results in light of prior expectations. Investigate unusual results and offers explanations. Examine and interpret results in the context of the specific business questions being addressed. Identify new questions and/or unforeseen data complexities arising from results and takes steps to address them. Integrate information from multiple sources to interpret results in larger business context. Perform and support trend analysis. Perform risk adjustment analytical studies that involve manipulations of large amounts of data. Identify patterns and trends in diagnostic coding practice in conjunction with risk score measurement.
Conduct gap analysis and data collection and validation. Stay abreast of government regulations as related to the 3R's. Conduct complex actuarial analyses to assess risk scores. Create data-driven solutions for capturing risk and improving quality of care for our members. Perform vendor return on investment analyses to determine ongoing benefit and decision support. Develop and execute work plans that may involve collaboration with more than one team. Identify systems and operational problems, and recommend solutions and changes to streamline procedures for more effective reporting. Perform root cause analysis. Analyze enrollment and claims data for patterns and trends to identify opportunities to improve documentation and coding. Conduct Monthly P&L financial reconciliations and frequent liaisons with the Finance team. Present reports, explaining their implications to managers and directors, and advising on risk ranges. Communicate with internal clients and carrying out relationships with financial directors and stakeholders.
Conduct Ad-hoc modeling and projects. Conduct other responsibilities as assigned.
Qualifications
Bachelor’s degree in Mathematical Statistics, Mathematics, Actuarial Science, Public Policy Analysis, Mathematical Economics, or Finance required.
Health insurance experience preferred. Experience in data and analytic skills using SQL, SAS or python coding required.
Requires Associate in the Society of Actuaries (ASA).
Benefits
Sanford offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits.
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.
Sanford has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
Req Number: R-0255728
Job Function: Health Plan
Featured: No
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Get Access To All JobsTips for Finding STEM OPT Authorization as a Health Actuary
Verify your CIP code before applying
Actuarial science (27.0301), applied mathematics (27.0304), and statistics (27.0502) are all STEM-designated CIP codes. Confirm your transcript lists one of these so your DSO can authorize the STEM OPT extension without delays.
Check E-Verify enrollment before accepting offers
Every STEM OPT employer must be enrolled in E-Verify before your extension is approved. Ask your recruiter directly or search the E-Verify employer search tool to confirm enrollment status before signing anything.
Target insurers and consulting firms with PERM history
Actuarial roles at large health insurers and benefits consulting firms frequently lead to H-1B sponsorship and PERM filings. Prioritize employers whose hiring patterns show a track record of sponsoring quantitative roles through the green card process.
Align your I-983 training plan to exam progression
USCIS requires that your I-983 training plan connects work duties to your STEM degree. Frame your actuarial responsibilities around credentialing exams like Exam P, FM, or MAS-I to demonstrate a clear link between the role and your mathematics or statistics degree.
Use OFLC Wage Search to benchmark your offer
Health actuaries fall under SOC code 15-2011. Pull the prevailing wage for your metro area using the OFLC Wage Search before negotiating. An offer below Level II signals the employer may struggle with a future LCA filing.
Find E-Verify employers on Migrate Mate
Filter your Health Actuary job search on Migrate Mate to surface employers already enrolled in E-Verify and with documented sponsorship activity. This cuts the time you spend vetting employers who can't legally hire STEM OPT workers.
Health Actuary jobs are hiring across the US. Find yours.
Find Health Actuary JobsFrequently Asked Questions
Does a health actuary role qualify for the STEM OPT extension?
Yes, if your degree is in actuarial science, mathematics, statistics, or a related STEM-designated field. Your DSO will verify that your CIP code appears on the STEM Designated Degree Program List before authorizing the extension. The role itself must also be directly related to that degree, which actuarial positions typically satisfy given their heavy quantitative requirements.
What does my employer need to do to hire me on STEM OPT?
Your employer must be enrolled in E-Verify and must co-sign your I-983 training plan, which details how the Health Actuary role relates to your STEM degree. The employer also certifies they'll report any material changes in your employment to your DSO within five business days and complete a formal evaluation at the six-month and annual marks.
How does the I-983 training plan apply to actuarial work?
The I-983 should map your day-to-day actuarial duties to the learning objectives of your STEM degree. For a Health Actuary, this means documenting work in pricing, reserving, risk modeling, or experience analysis and connecting those tasks to coursework in probability, statistics, or actuarial science. Generic descriptions won't satisfy USCIS review if your extension is audited.
What happens to my STEM OPT if my employer loses E-Verify enrollment?
If your employer's E-Verify enrollment lapses or is terminated after your STEM OPT is approved, your work authorization is at risk. You'd need to transfer to a new employer that is enrolled in E-Verify and file a new I-983 with your DSO promptly. Staying at an employer who falls out of E-Verify compliance is a status violation, so monitor this actively throughout your 24-month extension.
Where can I find health actuary jobs that sponsor STEM OPT workers?
Migrate Mate filters Health Actuary listings specifically for employers enrolled in E-Verify and with sponsorship history, so you're not wasting applications on companies that can't legally hire you on STEM OPT. Focus on roles at health insurers, managed care organizations, and actuarial consulting firms, which are the employer categories most likely to support both your OPT period and a future H-1B transition.
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