Senior Director, Client Actuarial Services

Monogram HealthBrentwood, TN
2d

About The Position

The Senior Director, Client Actuarial Services is a dynamic role that will provide leadership and have a high level of expertise in actuarial modeling of VBC programs. This role will partner with key stakeholders across medical economics, clinical and client partnership functions. They will have a strong skillset in managing forecast assumptions and interpreting financial results. Role summary Report to VP of client actuarial services Lead all actuarial analytics for key client partnerships Work in a fast-paced environment applying experience with VBC models Collaborates and plays client leadership role with team members from strategy, clinical and new market functions to identify data driven opportunities to add value to existing and potential partners Develop analytical tools to identify meaningful trend drivers, with linkage to financial results Work with legal and business development to outline value based economics for contracts.

Requirements

  • Bachelor’s degree in actuarial science, mathematics, or related field
  • Associate of the Society of Actuaries
  • 8-10 years healthcare experience
  • Experience with Value-Based Healthcare economics and different Value-Based Care arrangements.
  • Experience with CMS HCC risk score model for non-ESRD and ESRD populations.
  • Proficiency in MS Excel for building actuarial models and summarized revenue and claims reports
  • Strong familiarity with R/Python/SQL

Nice To Haves

  • Fellow of the Society of Actuaries
  • Medicare Advantage experience

Responsibilities

  • Applies fundamental actuarial principles in analyzing healthcare claims data
  • Develop, maintain, and analyze projection models
  • Reconcile value-based care settlements.
  • Coordinate with external actuaries and report monthly results.
  • Maintain valuation model for opportunity analysis
  • Establish actuarial procedures and document for internal use

Benefits

  • Actuarial Study Program including exam raises.
  • 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
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