Director - Actuarial

What You’ll Do

Reporting to the Vice President Actuarial the Director Actuarial Services will oversee actuarial management of risk contracts pricing of new opportunities and renewals some IBNR reserve development financial projections and analysis of performance. This role will work closely with business development customer success finance and Medical Economics teams and will be responsible for communicating financial performance to internal leadership. This role is critical in supporting the company’s financial health and enhancing performance across Commercial Medicare and Medicaid programs particularly through value-based care initiatives.

The Day to Day

• Manage develop and hire a team of talented and driven Actuarial Analysts

• Lead reserve development and settlement calculations to support financial month close ensuring accurate and timely reserve calculations

• Collaborate effectively with Finance team to consolidate monthly enterprise level financial results and record appropriate entries

• Effectively communicate financial results to leadership (including Chief Actuary CFO and CEO) telling a clear and concise story on drivers of performance and potential areas of improvement

• Work directly with reinsurance brokers to secure stop loss and financial guarantee policies

• Support the accounting team in annual audit process

• Build maintain and improve Financial Projection models tools for analyzing and explaining cost drivers settlement calculations robust reporting and actionable analytics.

Minimum Qualifications

• Bachelor’s degree in Math Actuarial Science Finance Economics Statistics Business or relevant field

• ASA / FSA Designation through the Society of Actuaries

• 8+ years’ experience in the healthcare industry

• 2+ years Advanced Excel SQL and financial modeling capabilities

• 6+ years direct experience in combination of pricing forecasting IBNR / claims reserving or  total cost of care analysis

• 3+ years’ experience leading an actuarial team

• Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.

• Ability to travel and be onsite to meet business needs.

Preferred Qualifications

• 4+ years experience managing direct reports.

• Experience in healthcare analytics and/or pricing.

• Experience in value-based care contracting.

• Experience in Medicare (preferred) commercial and Medicaid also helpful.

• Experience with CMS shared savings programs.

• Exceptional analytical and conceptual thinking skills.

• Experience using Microsoft Power BI or other data visualization tools.

About You

• Proven ability to lead and develop high-performing teams with a strong focus on fostering collaboration and driving results.

• Strong problem-solving skills with the ability to thrive in a fast-paced dynamic environment.

Annual Base Salary Range: $130000 - $179500