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Salary: USD 125,000 - 150,000 / annual
XO Health is a healthcare platform redefining how risk is structured, priced, and managed across self-funded employer health plans and provider partnerships. The company is building a unified health experience for employers, care providers, and payers through innovative alternative payment models.
As a Risk Solutions Actuarial Associate, you will join the Risk Solutions team to develop and scale the actuarial and financial backbone of XO's products. This is an early-career actuarial role with direct visibility into executive strategy, product development, and risk operations.
Key responsibilities include:
- Support and develop actuarial modeling for XO's risk-sharing and value-aligned models, including provider performance pricing, employer pricing, and financial analysis of risk-based contracts.
- Manage XO Health's stop-loss and reinsurance strategy, including product design for small and mid-market employers, provider risk strategies, pricing input, partner management, and performance tracking. Support RFPs and maintain relationships with MGUs, captives, and carriers.
- Advance XO's high-cost claim strategy by leveraging the company's unique position across employers and providers to manage risk proactively and equitably, developing analytics and interventions across clinical, financial, and contractual dimensions.
- Support reporting and communications on financial performance, risk solutions, pricing strategy, and model assumptions for internal and external stakeholders, including the executive team and boards.
- Own end-to-end execution of cross-functional initiatives, working with analytics, finance, commercial, clinical, and provider strategy teams to build scalable, tech-enabled pricing and risk capabilities.
You bring 2+ years of healthcare analytics, actuarial modeling, pricing, or financial strategy experience in a payer, MGU, stop-loss carrier, or provider setting. You are within two years of achieving ASA credentials (required). You have strong command of healthcare data (claims, episodes, actuarial values, stop-loss policies) and value-based care economics. You demonstrate ability to build models, synthesize information, and communicate results to diverse audiences, with proficiency in Excel and ideally SQL. You are comfortable with ambiguity and fast-paced startup environments, can lead cross-functional projects with minimal oversight, and are mission-driven to improve healthcare.
