Director, Actuarial Services

Hello Heart

1d•$200,000 - $225,000

About The Position

Hello Heart is seeking a strategic, commercially minded Director, Actuarial Services to deliver actuarial strategy, health economic analyses, and financial value demonstration. This highly visible, client-facing role translates complex healthcare data into clear insights that demonstrate the clinical and financial value of Hello Heart’s heart health solution, supporting customer relationships, commercial growth, and strategic decision-making. Reporting to the VP, Commercial Actuary, the Director will collaborate with Medical Affairs, Consultant Relations, Sales, Growth, Customer Success, and Finance. The role leads health economic research, develops risk-based pricing models, oversees performance guarantees and related reserves, and represents Hello Heart in client and consultant engagements. The position also evaluates the impact of new products and services, monitors market dynamics, and communicates findings through presentations, research materials, and publications. Travel may be required up to 20% of the time.

Requirements

At least 7 years of actuarial experience within healthcare, health insurance, or a related healthcare organization, including health economic and financial analyses.
Client-facing or sales-support experience, such as in consulting or a startup, with a track record of presenting analyses to customers, consultants, or executives.
Strong listening and storytelling skills, with the ability to build trust quickly.
Deep knowledge of actuarial principles, healthcare economics, risk assessment, and statistical methodologies, and the ability to apply findings to commercial and strategic decisions.
Proficiency in R and experience analyzing large medical and pharmacy claims datasets, including paid and allowed amounts, healthcare utilization, and medication adherence measures.
Demonstrated ability to use artificial intelligence tools and agents to streamline research, analysis, reporting, and complex workflows while critically evaluating outputs for accuracy and reliability.
Bachelor’s degree in Mathematics, Statistics, Economics, Actuarial Science, or a related field.
Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) credential.
Experience developing or evaluating healthcare cost savings studies, financial outcomes research, performance guarantees, and risk-based pricing models.
Understanding of risk adjustment, Medicare Advantage Star Ratings, healthcare quality metrics, and related audit processes.
Strong written and verbal communication skills, including the ability to translate complex actuarial and statistical concepts into compelling presentations for executive and external audiences.
Ability to influence cross-functional stakeholders, manage competing priorities, and independently drive high-impact initiatives in a fast-paced environment.
Willingness to travel up to 20% of the time.

Responsibilities

Partner with Sales, Consultant Relations, and Customer Success to strengthen proposals and communicate Hello Heart’s economic value.
Join client and consultant calls, performance reviews, and renewal value conversations, providing strategy, decisions, and key input as a credible representative of Hello Heart.
Advocate for sound actuarial practices, appropriate methodologies, and effective processes that support high-quality analyses and informed decision-making.
Provide strategic guidance as an actuarial subject matter expert on healthcare economics, financial outcomes, pricing, and market opportunities.
Lead health economic studies, cost savings analyses, and outcomes research that quantify Hello Heart’s impact and support commercial growth.
Analyze medical claims, pharmacy claims, and other large datasets to evaluate healthcare utilization, medication adherence, costs, and financial outcomes.
Develop and maintain performance guarantee offerings, assess associated financial risks, oversee reserve requirements, and educate internal stakeholders.
Develop risk-based pricing approaches and support value-based contracting and specialty incentive opportunities.
Present actuarial and health economic findings to customers, consultants, payers, industry audiences, other external stakeholders, and at conferences.
Serve as the primary actuarial contact for independent cost savings studies, research collaborations, and analyses with consultants and external partners.
Evaluate the anticipated clinical and financial impact of new products and services, identify market opportunities, and provide actuarial input into strategic planning.
Develop executive-ready presentations, research materials, and publications that make complex statistical findings accessible and actionable.
Track healthcare market dynamics, competitor trends, Medicare Advantage quality measures, and emerging reimbursement models to inform business decisions.