About the Role
This role involves directing actuarial functions, managing risk modeling, and guiding financial forecasting to support value-based care programs. The candidate will work closely with executive teams to ensure accuracy in pricing, reporting, and regulatory compliance.
Responsibilities
- Lead the development and validation of actuarial models for risk assessment
- Oversee financial forecasting and pricing strategies for healthcare programs
- Ensure compliance with regulatory standards in actuarial reporting
- Collaborate with leadership on strategic planning and decision-making
- Manage actuarial analyses for value-based care contracts
- Supervise external vendor relationships related to actuarial services
- Provide insights on medical cost trends and risk adjustment methodologies
- Support audit processes and financial disclosures
- Develop and maintain reserving methodologies
- Guide data accuracy and integrity in actuarial systems
- Lead actuarial input for new business proposals
- Evaluate performance of risk-sharing arrangements
- Mentor and develop junior actuarial staff
- Ensure alignment between actuarial outputs and clinical initiatives
- Communicate complex actuarial concepts to non-technical stakeholders
- Monitor changes in healthcare policy affecting actuarial assumptions
- Assist in the design of incentive and shared savings models
- Maintain documentation for actuarial methods and assumptions
- Conduct scenario and sensitivity analyses for financial planning
- Support enterprise risk management frameworks
- Review claims and encounter data for actuarial modeling
- Ensure timely delivery of regulatory filings
- Evaluate provider performance using actuarial metrics
- Integrate clinical and financial data for comprehensive analysis
- Promote best practices in actuarial science across departments
Compensation
Competitive salary with performance-based incentives and comprehensive benefits package.
Work Arrangement
Remote
Team
Part of the executive leadership team focused on data-driven healthcare transformation.
Why Join Us
- Opportunity to shape actuarial strategy in a fast-growing healthcare organization
- Work in a mission-driven environment focused on improving patient outcomes
Growth and Development
- Access to professional development resources
- Leadership involvement in industry forums and continuing education
Not available
