At Carrum, we live and breathe the mission of transforming the healthcare system to create an unmatched experience for patients. If you are passionate about changing healthcare and want to finally get rid of surprise bills, poor quality, and high prices, while thriving in an entrepreneurial, cutting-edge environment, we would love to connect with you.

In 2014 Carrum reinvented the Centers of Excellence (COE) category in digital health. Today, 90% of the US population lives within 50 miles of a Carrum COE and our providers rank in the top 10% nationally. Our team’s execution has been recognized by the venture community and we’ve raised more than $96M in aggregate from investors like OMERS, Tiger Global Management and Wildcat Ventures. Our impact has been externally proven in a 2021 RAND Corporation study and featured as a Harvard Business School (HBS) case study.

The salary range for this role is $200,000 - $225,000 depending on geography and level of experience, plus equity and an annual bonus.

You’re excited about this opportunity because you will...

• Build and maintain actuarial models that project healthcare cost and utilization for employer populations  covering procedure incidence, cost benchmarking, demographic adjustment, and trend analysis  to produce credible, market-specific savings estimates.

• Own the end-to-end savings methodology: quantify avoidance impact, unit cost savings, and total program ROI for employer clients across all covered episode categories, ensuring outputs are internally consistent and defensible under actuarial review.

• Design and run scenario and sensitivity analyses across participation structures, ramp schedules, and cost trend assumptions, translating results into clear ranges and recommendations for Sales, Finance, and C-suite audiences.

• Partner with data science and analytics teams to build reproducible actuarial pipelines in Python, R, or SQL  against cloud data platforms, with full documentation of assumptions, data lineage, and methodology for peer review and client disclosure.

• Serve as the actuarial voice in client-facing work: prepare savings estimates for RFPs and renewals, develop actuarial memoranda and certifications, and communicate findings in plain language to employer CFOs, benefits consultants, and brokers.

We’re excited about you because…

• Associate of the Society of Actuaries (ASA) credential required. 

• 5-10 years of actuarial experience in healthcare ideally in a consulting environment such as Milliman, Mercer, Aon, Willis Towers Watson, or equivalent.

• Deep familiarity with commercial health plan pricing, employer self-funded/stop-loss plans, or value-based care economics.

• Proven experience building and validating healthcare cost and utilization models: incidence rates, PMPM/PMPY benchmarks, episode-of-care pricing, and cost trend analysis.

• Proficiency in Python or R for actuarial modeling; SQL for data extraction from cloud platforms (Databricks, Snowflake, BigQuery, or equivalent).

• Demonstrated ability to communicate actuarial findings to non-actuarial stakeholders including CFOs, benefits consultants, and executives.

Why you’ll love working with us...

• Mission that matters: every percentage point of savings reduces unnecessary surgeries and improves patient outcomes, backed by published research.

• Actuarially rigorous environment: your models will be used in C-suite presentations, client contracts, and peer-reviewed studies. The work is consequential.

• Direct partnership with leadership: you will work alongside the SVP of Data, Analytics Engineering, and clinical teams  not siloed in a back-office actuarial department.We’re a hard-working, humble, and compassionate group motivated to solve the hard problems in healthcare today. You’ll work with talented, experienced co-workers from companies like Booz & Company, Livongo, 98point6, Google, and Optum. We believe in using data to inform decisions, technology to make our jobs easier, and creative thinking to pave the future.

• We are working with some of the most recognized and esteemed names in the country. Top hospitals like Johns Hopkins, Mayo Clinic, Stanford Health Care, Scripps Health, and Rush Health have joined our platform. Employers who use our benefit include US Foods, United Airlines, and large public sector organizations like the self-insured schools of California, and the State of Maine.

• We empower team members to be autonomous and provide a collaborative environment where you get support and healthy feedback. You can bring your authentic self to work every day and are encouraged to help others do the same.

• We carve out time to let go of work to celebrate our successes and have fun. We’re a remote-first company with employees all over the United States and two office locations in San Francisco and Chicago. We support our employees during the work day and beyond with flexible working hours, generous time off, paid parental leave, and opportunities to connect with coworkers both virtually and in-person.

• We embrace our team’s diversity of thought, experience, and interests and know that doing so makes us stronger as a company. Carrum has an active employee-led Diversity, Equity, Inclusion, and Justice (DEIJ) committee and several employee resource groups (ERGs). Our ERGS help employees build stronger connections through social, educational, and community activities.

• You’ll feel proud that the work you do each day directly impacts people’s lives in big and meaningful ways.

Other benefits:

• Stock option plan

• Flexible schedules and remote work

• Chicago and San Francisco offices available

• Self-managed vacation days, within reason

• Paid parental leave

• Health, vision, and dental insurance

• 401K retirement plan

About Carrum

We’re a health tech company that brings value-based care to the masses. We help employers deliver a memorable patient experience, immediately lower healthcare costs, and drive better outcomes and achieve this through the power of technology and human-centered design. Since launching in 2014, we’ve partnered with Fortune 500 employers and top hospitals across the nation. We’ve been recognized by Harvard Business School and featured in TechCrunch, The Los Angeles Times, Washington Post, and Modern Healthcare. We believe we’re only scratching the surface of our opportunity and we’re looking for incredible people like you to help us realize our full impact.

Carrum Health is an equal opportunity employer and encourages all applicants from every background and life experience.