Risk Consulting - Actuarial - Healthcare Analytics and Model Validation - Senior

EY

3+ yrs Bengaluru Full Time Hybrid (office + remote)
EY logo
Posted : today
Actively hiring

Job description

Join EY's Global Delivery Services (GDS) Consulting team as a Senior in Healthcare Analytics and Model Validation. This role offers a unique opportunity to contribute to innovative solutions for leading clients in the insurance sector, leveraging data-driven insights to shape business decisions.

Our dynamic team focuses on healthcare analytics, predictive modeling, and model governance. You'll engage in independent model validation, risk management, and contribute to critical business decisions through advanced analytical techniques. This is an excellent chance to gain exposure to healthcare economics and emerging AI/ML applications within a diverse and collaborative professional environment.

Responsibilities

As a Senior, you will develop and implement solutions within the Insurance service line and collaborate with other EY service lines. Your responsibilities include delivering high-quality project outcomes, mentoring junior staff, and ensuring timely project completion in line with EY values.

Key tasks involve validating healthcare cost forecasting, claims prediction, and financial forecasting models. You will also assess reimbursement optimization models, review Fraud, Waste, and Abuse (FWA) detection models, and support the validation of AI/ML models used in healthcare decision-making. Staying abreast of industry developments in healthcare analytics, predictive modeling, and AI/ML is essential.

Qualifications

To excel in this role, you should possess at least 3 years of experience in healthcare analytics, predictive modeling, model validation, actuarial analytics, risk analytics, or data science. A Bachelor's or Master's degree in a quantitative discipline such as Statistics, Mathematics, Actuarial Science, Data Science, Economics, Engineering, or Computer Science is required.

Essential skills include a strong understanding of statistical, forecasting, predictive modeling, and machine learning techniques. Advanced proficiency in Microsoft Excel (including PivotTables, Power Query, VBA/Macros) is crucial. You should demonstrate strong analytical and problem-solving capabilities, the ability to interpret complex quantitative results, and effective communication skills for both technical and non-technical audiences.

Essential Skills

Healthcare AnalyticsPredictive ModelingModel ValidationActuarial AnalyticsRisk AnalyticsData ScienceStatistical TechniquesForecastingMachine LearningMicrosoft ExcelPivotTablesPower QueryVBA/MacrosAnalytical SkillsProblem-SolvingQuantitative AnalysisCommunication Skills

Good to Have

US HealthcareHealth InsuranceManaged CareClaims AnalyticsMedical Cost ForecastingUtilization ManagementProvider AnalyticsAI/ML Model ReviewModel Risk ManagementModel GovernanceMedicareMedicaidSQLPythonSASGenAIAgentic AI

Highlights

  • Actively hiring

More Details

RoleRisk Consulting - Actuarial - Healthcare Analytics and Model Validation - Senior
IndustryFinancial Services, Management Consulting, Healthcare
DepartmentData & Analytics, Data Science
Employment TypeFull Time, Hybrid (office + remote)

About the Company

EY Global Delivery Services ( EY GDS) logo

EY Global Delivery Services ( EY GDS)

Financial Services

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