Director of Actuarial Services - Remote
About The Position
As a Director of Actuarial Services, you will be empowered, supported and encouraged to use your actuarial expertise as you build and maintain actuarial models to support risk management and financial analysis for our Value-Based Care (VBC) business. The successful candidate will have a solid background in actuarial science, a technical skillset to take on complex VBC modeling and the curiosity and desire to become a thought leader in their areas. This position leads a growing actuarial team responsible for assessing and quantifying risk in risk based contracts across the provider organization, and for developing strategies and designing actuarial models to support contract negotiations. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Requirements
- ASA (Associate of the Society of Actuaries)
- 5+ years of actuarial experience with foundational literacy in healthcare analytics and modeling
- 3+ years of experience with any of the following: Medicare Advantage (MA) products, Medicare bids, and/or VBC modeling
- 2+ years of experience managing actuarial analysts
- Proficiency in Excel and SQL
- Proven excellent problem-solving and communication skills, along with critical thinking skills to anticipate questions from key stakeholders and consider all aspects of a deliverable before completion
Nice To Haves
- FSA, or progress toward FSA (Associate/Fellowship of the Society of Actuaries) designation
- Experienced presenting business insights and summaries to inform decisions to stakeholders
- Proven ability to self-motivate, quickly learn new business concepts and take initiatives
Responsibilities
- Lead the development and oversight of actuarial models and forecasts to support value-based Medicare Advantage, Commercial, and Medicaid risk arrangements
- Develop and recommend actuarially sound financial terms to effectively manage risk in risk based arrangements
- Analyze large, complex financial, claims, utilization, and cost data sets to assess performance, risk, and opportunities
- Translate complex analytical findings into clear, actionable insights for operators, provider partners, finance leadership, and senior executives
- Provide actuarial expertise and strategic recommendations to support contract negotiations, performance tracking, and risk management
- Drive strategic initiatives, process improvements, and innovation through predictive modeling and creative problem solving
- Partner cross-functionally to identify cost mitigation opportunities and support enterprise-wide initiatives
- Oversee day-to-day execution of actuarial and analytic work, ensuring quality, efficiency, and alignment with business goals
- Communicate effectively with technical and non-technical audiences through presentations, discussions, and written materials
- Serve as a key resource for risk-taking provider organizations and physician groups
- Manage, mentor, and develop a team of managers and analysts, including performance management, talent development, and succession planning
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- company sponsored study hours and study materials
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
