Director, Actuarial Services

Monogram Health • Remote,

1d

About The Position

The Director of Actuarial Services is a dynamic role providing strategic leadership and deep expertise in actuarial modeling of VBC programs in a fast-paced environment. Reporting to the AVP of Actuarial Services, this role partners closely with key stakeholders across Medical Economics, Clinical, and Client Partnership functions to identify data-driven opportunities. In addition, collaborates with Legal and Business Development teams to structure and evaluate Value-Based economics for contracts. They will have a strong skillset in managing forecast assumptions, interpreting financial results, and delivering enterprise reporting to executive audiences.

Requirements

• Bachelor’s degree in actuarial science, mathematics, or related field, with an Associate of the Society of Actuaries
• Minimum of eight (8) years of healthcare actuarial experience, including experience with value-based healthcare economics and different value-based care arrangements.
• Proficiency in MS Excel for building actuarial models and summarized revenue and claims reports

Nice To Haves

• Fellow of the Society of Actuaries preferred
• Medicare Advantage Part C bid pricing experience is a plus
• Experience developing healthcare seasonality factors is preferred
• ADT-based projection experience is preferred
• Familiarity with SQL / Databricks is a plus

Responsibilities

• Apply actuarial principles to analyze healthcare claims and utilization data, including trend and seasonality adjustments, in support of optimizing and reconciling VBC contracts
• Develop, maintain, and analyze projection models
• Lead the forecasting process, including assumption refreshes, run control, and sensitivity/scenario analyses
• Develop and incorporate ADT-based claims projections into forecasting and reporting processes, in partnership with Medical Economics leadership
• Own central actuarial reporting deliverables for executive audiences, including clear narratives, variance drivers, and strategic implications
• Lead reinsurance analytics and reporting, including treaty terms interpretation, ceded claims estimation, and reconciliation of expected vs. actual results
• Establish, document, and maintain actuarial standards, procedures, and controls

Benefits

• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
• Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
• Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
• Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

What This Job Offers

• Job Type: Full-time
• Career Level: Director