Role Description The Senior Actuarial Analyst is responsible for leading advanced actuarial analytics and health economics evaluations that measure financial and clinical outcomes across organizational programs. This role expands upon core actuarial responsibilities by owning the design and execution of affordability analyses and ROI studies, particularly within Medicaid populations and value-based care arrangements. This individual will translate complex clinical and operational interventions into financial impact, develop methodologies for savings attribution, and provide strategic insights that influence payer performance, product strategy, and enterprise decision-making. Key Responsibilities: - Develop and enhance actuarial and health economic models to quantify program impact on cost, utilization, and quality outcomes. - Own monitoring and evaluation of payer/provider-group performance across financial (MLR/MCR, PMPM) and operational/utilization metrics. - Translate performance results into actionable insights and recommendations to improve value-based contract outcomes. - Support payer reporting and partner discussions with clear, defensible financial analyses. - Leverage and integrate multiple data sources (claims, eligibility, pharmacy, EMR, quality, care management) to produce comprehensive analyses. - Identify key cost drivers, population health trends, and intervention opportunities, particularly within Medicaid populations. - Investigate and resolve complex data anomalies; establish best practices for data validation and reliability. - Translate analytical findings into executive-ready insights and narratives for internal and external stakeholders. - Continuously improve processes for scalability, automation, and reproducibility of analyses. Qualifications - Bachelor’s degree in Mathematics, Statistics, Actuarial Science, Economics, or related field (or equivalent experience). - 3-5+ years of healthcare analytics or actuarial experience. - Strong experience with Medicaid data, including claims, encounters, eligibility, and capitation structures. - Demonstrated experience in ROI analysis, health economics, or program evaluation. - Advanced proficiency in SQL and Excel; experience with Python, R, or SAS preferred. - Strong understanding of healthcare financial metrics (PMPM, MLR/MCR, risk scores) and utilization drivers. - Experience working in value-based care or risk-based contracting environments. - Strong communication skills with ability to present complex analyses to diverse audiences. Preferred Skills & Qualifications - Progress toward ASA. - Experience with causal inference or quasi-experimental methods (e.g., difference-in-differences, matching). - Familiarity with Medicaid rate setting, risk adjustment models (e.g., CDPS), and regulatory environment. - Demonstrated ability to manage multiple projects and operate independently in fast-paced environments. - Strong systems thinking with ability to connect clinical programs to financial outcomes. Company Description Equality Health is an integrated, holistic, and tech-enabled healthcare delivery system focused on improving the health and wellness of diverse populations. Founded in 2015, Equality Health aims to improve access to value-based care for people who have long struggled with navigating the traditional one-size-fits-all U.S. healthcare system. The mission of the company is to provide high-quality care that improves and enhances lives regardless of race, ethnicity, age, or income. Through its supplemental care management services and proprietary technology platform, CareEmpower™, Equality Health helps managed care plans and health systems improve outcomes and lower costs for diverse populations while simultaneously facilitating the transition to risk-based accountability. Equality Health supports over 800,000 members and more than 4,000 practice sites and continues to scale rapidly. In 2021, Equality Health partnered with General Atlantic, a leading global growth equity firm, to help drive continued expansion and fuel the next phase of growth as a leading value-based primary care network serving the Medicaid, Medicare and ACA Exchange populations. This strategic investment will enable Equality Health to pursue further geographic expansion, technological innovation and product development while furthering its mission of increasing access to care, lowering costs and improving outcomes for underserved individuals, families and communities.

Role Description We are seeking a skilled Professional Billing Epic Systems Analyst to support and optimize our Epic Professional Billing applications. In this role, you will collaborate with revenue cycle stakeholders, clinical operations, and IT teams to design, build, implement, and maintain system solutions that enhance billing efficiency, compliance, and financial performance. The ideal candidate will have strong experience in Epic Professional Billing (PB) workflows, system configuration, troubleshooting, and revenue cycle operations, along with a commitment to delivering high-quality, data-driven solutions that support organizational goals. Responsibilities - Demonstrates an understanding of the corporate Pharmacy department workflows. - Collaborates with physicians and physician-informaticists on medication order panels, order sets, and protocols. - Demonstrates familiarity with the medication dispensing system in accordance with scientific principles and Orlando Health policies and procedures. - Demonstrates competency in all aspects of health-system pharmacy practice including pharmacotherapy, patient care, distributive services, drug information, and practice management. - Leads efforts to understand product capabilities (current and future state) and determine product or system design and change requirements to help drive the business or clinical unit’s targeted outcomes. - Assists and leads implementation of a product solution or solutions within a group of specific clinical or business applications or technologies based on enterprise business strategy, business capabilities, and business requirements. - Manages the architecture for a scope of products and works closely with business and clinical architects who manage and design architecture for a single project or initiative. - Provides consulting support to business or clinical architects within projects to ensure alignment with the overall enterprise architecture. - Monitors the current-state solution portfolio to identify deficiencies through aging of the technologies used by the application, or misalignment with business requirements. - Understands technology trends and practical application of existing, new, and emerging technologies to enable new and evolving business and operating models. - Understands, advocates, and augments the principles of information technology strategies. - Analyzes the business-IT environment (run, grow and transform the business) to detect critical deficiencies, and recommends solutions for improvement (systems of record, differentiation, and innovation). - Understands and educates others on the product industry, competitors, and market trends, and determines their potential impact on the solution. - Understands the principles, guidelines, standards, and solution patterns to ensure solution decisions align with the enterprise's future-state architecture vision. - Assists with developing and understanding of product roadmap for the evolution of the enterprise application portfolio from current to future state (as defined by the solutions architecture). - Participates in the evaluation and selection of software product standards and services, as well as the design of standard and custom software configurations. - Consults with application and infrastructure development projects to fit systems or infrastructure to architecture and identifies when modifications are necessary to accommodate the solutions architecture. - Identifies the business or clinical unit impact (for example, on skills, processes, structures, or culture) and financial impact of the solutions architecture. - Documents all solution design and analysis work. - Works closely with program/project managers to ensure execution of work corresponds with what is being promised. - Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. - Maintains compliance with all Orlando Health policies and procedures. Other Related Functions - Recognized as an expert within the organization and possesses the required in-depth knowledge and/or breadth of expertise in products, as well as a broad knowledge of products within the organization. - Solves unique problems that have a broad impact on the associated business functions and requires conceptual and innovative thinking to develop solutions. - Contributes to the development of functional strategy within the products scope. - Anticipates business and regulatory issues and recommends product, process, or service improvements. - Leads projects with notable risk and complexity; develops the strategy for project execution. - Communicates complex ideas, anticipates potential objections, and persuades others, often at senior levels, to adopt a different point of view. - Contributes to the direction and resource allocation for programs, projects, or services while working within general functional policies and industry guidelines. - Provides Level 2 / Level 3 support on assigned products or product suite. - Participates in On-Call support rotation. - Performs other duties as directed. Qualifications - Pharmacy degree (Bachelor of Science or PharmD) required. - Experience in IT solution development disciplines, including technical architecture, network management, application management, middleware, database management, product management, or operations preferred. - An active pharmacist license in good standing from a state board of pharmacy in one of the states approved by Orlando Health for virtual work is required. - Two (2) years of experience working as a hospital Pharmacist. - Role may also require specific experience with solutions and products (Pharmacy, Supply Chain, Revenue Cycle, and other healthcare related disciplines). - Exceptional interpersonal skills, including teamwork. - Ability to work and lead others through ambiguity. - Strong collaboration skills. - Excellent analytical and technical skills. - Excellent written and verbal communication skills. - Excellent planning and organizational skills. - Knowledge of common components of an enterprise technical architecture. - Basic understanding of application management methodologies, infrastructure, and network architecture. Benefits - All Inclusive Benefits (start day one) - Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.

• Partner with senior product manager and director to develop and manage program KPIs; build models to inform/support future program strategy. • Provide data-driven recommendations to support roadmap planning and strategic initiatives. • Analyze product performance across auto/home partners and industry trends to identify opportunities for improvement. • Conduct deep-dive analyses on ROI, customer journey analytics, funnel analysis, and retention; develop cost-of-acquisition factors by consumer segment. • Collaborate with cross-functional teams including marketing, operations, and finance to align on business objectives. • Serves as Business Data Steward for auto/home product data, ensuring accuracy and governance. • Monitor competitive landscape and industry benchmarks. • Assists with or conducts competitive analysis/assessment/research for new delivery channels and product/partner enhancements.

• Partner with Product Managers to define, measure and track North Star metrics and leading indicators for every initiative tackled, connecting them to the overall OKRs • Work with product managers to establish, implement, and analyze product conversion funnels. • Collaborate with engineering teams to ensure accurate and complete data collection for all new product launches and feature updates. • Serve as the primary point of contact for product usage data requests from the design and product teams, providing them with the necessary insights to inform their decisions. • Bridge the communication and technical gap between the Product and Data departments, translating business needs into data requirements. • Monitor data quality and integrity, troubleshooting and resolving any issues related to event tracking or data loss. • Assist in setting up and analyzing A/B tests and other experimental feature rollouts. • Prepare and present regular reports and dashboards on product performance to stakeholders.