Chief Actuary and Senior Vice President of Performance Management & Improvement Analytics

Modivcare is looking for a Chief Actuary and Senior Vice President of Value-Based Care Performance Management & Improvement (SVP) to be responsible for all actuarial functions of the Company including creation and execution of actuarial and value-based-care (VBC) strategies, capabilities, and competencies (including people, processes and tools) to support sustained performance and growth of the Company. The SVP will direct internal and external teams responsible for the actuarial and analytics components of VBC, cost trend analysis, future contingency payments and liabilities and Enterprise Business Planning.

The SVP is responsible for building and maintaining a best in class actuarial and VBC performance management & improvement function through outstanding vision, strategy creation, and execution with a high performing team using traditional and de-nova approaches. The SVP will represent the Company as a thought leader for the subject matter and advocacy to support the Company's policy positions.

A key advisor and direct report to the Chief Financial Officer, the SVP also serves as an advisor to other senior leaders in the Company with a consistent presence supporting the Chief Commercial and Chief Product Officers. The SVP will provide oversight and guidance to all lines of business as it relates to VBC and traditional rate negotiations/renewals with respective customers. Close integration with the Care Management and Operation functions of the Company will be of critical importance.

You will...

• Lead teams by communicating corporate strategy, vision, and performance expectations to obtain organizational results and work in partnership with others to achieve business results.
• Develop and advance the organization's VBC strategy in collaboration with Company leadership.
• Develop and progress Company's VBC performance management & improvement process through regular and systematic analysis and forecasting of financial/statistical data which is actuarially sound, provides key insights to inform strategic and tactical business decisions, and supports organizational goals and objectives.
• Lead the underwriting functions for the Company to achieve financial objectives and mitigate undesirable risk exposure levels
• Manage activities of research, data collection and analysis, pre-sales analytics, and value model development to identify key drivers of results and opportunities.
• Communicate results, findings, and recommendations in a clear, compelling manner to board of directors, senior leadership, professional staff and other applicable key constituents.
• Support customer conversations around sales and partnership opportunities.
• Prepare, review, and manage departmental operating budgets.
• Drive employee engagement and foster teamwork and collaboration.
• Demonstrate understanding of applicable laws and regulations as well as the actuarial code of conduct and actuarial standards of practice.

We are excited to speak to someone with the following...

• 15 or more years of experience developing and leading high-performing actuarial and analytics staff within healthcare, including management experience in a highly complex and matrix entity which operates in numerous different regulatory jurisdictions at substantial scale
• High level of competence with actuarial methodologies, as evidenced by credentials such as ASA, FSA, MAAA, and/or other equivalent credentials, required.
• Significance experience and understanding of key business drivers and motivators for all major stakeholders in healthcare including health plans, providers, State and Federal governments, and ACOs
• Significance experience and understanding of customer populations such as, but not limited to, Medicare Advantage, Medicaid, dual-eligible, traditional Medicare and commercial.
• Well-versed in contemporary and emerging actuarial practices; expected to provide thought leadership in the industry and representing the Company in support of various policy positions at the State and Federal levels.
• Proven ability to oversee/manage projects to successful conclusion as well as ability to identify and implement best practices and methods
• Self-motivated, highly organized, and detail oriented
• Proven ability to openly and actively communicate information and take initiative to communicate extensively to all levels of an organization
• Demonstrated excellent written, verbal, presentation, and negotiation skills
• Exceptional problem-solving, advanced analytical, and verbal and written communication skills are required
• Bachelor's Degree or equivalent work experience, preferably in mathematics, actuarial science, or risk management

• The Chief Actuary and Senior Vice President of Value-Based Care Performance Management & Improvement (SVP) will report to the Chief Financial Officer and will serve as a vital part of the senior leadership team. The SVP will provide critical support to the Chief Commercial and Chief Product Officers in the advancement of the organization's objectives for growth and new product development. The SVP will oversee all actuarial and VBC related functions, leveraging a high performing team.

We value our team members and realize the importance of benefits for you and your family. Modivcare offers a comprehensive benefits package including the following:

• Medical Plans with Prescription Drug Benefits
• Dental Benefits
• Vision Benefits
• Employer Paid Basic Life Insurance and AD&D
• Voluntary Life Insurance (Employee/Spouse/Child)
• Health Care and Dependent Care Flexible Spending Accounts
• Pre-Tax and Post --Tax Commuter and Parking Benefits
• 401(k) Retirement Savings Plan with Company Match
• Paid Time Off
• Paid Parental Leave
• Short-Term and Long-Term Disability
• Legal Services
• Critical Illness, Accident, Hospital Indemnity and Cancer Insurance
• Tuition Reimbursement
• Relocation Services
• Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

Modivcare. Because we care...always.

5 brands have joined together for one purpose, and we recognized an important need--to improve access to care by addressing the social factors that influence patient health outcomes. Our roots as a logistics leader have laid the foundation for our transformation into a tech-enabled healthcare company making better connections to care.

Salary: $243K - 375K

Bonus eligible based upon company and individual performance

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.

Modivcare requires all employees to be vaccinated for COVID-19. Modivcare is an equal opportunity employer and consistent with federal, state, and local requirements, will consider requests for exemptions from this policy as required under the law.