Director, Actuarial Services

Responsibilities

• Lead development and reporting for partner total cost of care savings performance estimates, ensuring data accuracy and methodological consistency with risk-based contracts and actuarial standards.
• Lead annual financial reconciliations for value-based contracts and coordinate internal data resources to execute them.
• Interface with actuarial counterparts at partner organizations to validate reconciliation results.
• Evaluate performance estimates, identify and quantify financial risks and opportunities, and advise Finance on revenue recognition decisions tied to projected shared savings.
• Identify and evaluate potential underperformance, interpret results, and partner with health economics and clinical teams to determine root causes.
• Execute actuarial analyses and develop models to quantify financial and risk trade-offs among value-based contract features.
• Develop and maintain financial models linking clinical and operational activities to outcomes that drive financial performance.

Requirements

• Bachelor's degree in Statistics, Actuarial Sciences, Economics, Mathematics, or another quantitative discipline.
• Associate or Fellow designation from the Society of Actuaries (ASA or FSA).
• 8+ years of actuarial experience in healthcare and/or medical economics.
• 2+ years mentoring junior staff members.
• Understanding of Medicare Advantage health plan data, including Claims, MMR, and MAO-04.
• Experience using SQL or another coding language to pull and transform data from large healthcare claims databases.
• Proficiency writing clean, efficient code and maintaining strong data management practices.
• Experience working across organizations and building rapport with data teams and downstream consumers.

Nice-to-haves

• 3+ years of experience with value-based care arrangements and contracting, including reserving and forecasting for shared savings, shared risk, and/or global capitation programs.
• Strong communication skills and ability to articulate the “Here’s What,” “So What,” and “Now What” to executive audiences or external parties.
• Strong understanding of healthcare financial and clinical metrics and industry standards for presenting data.
• Experience developing Excel financial models and forecasts to evaluate the cost-of-care impact of clinical interventions.
• Familiarity with Looker, Tableau, or Power BI.
• Understanding of pharmacy benefits and/or Medicare Part D.

Compensation

• Base salary: $190,000–$210,000.
• Total compensation also includes equity, benefits, and other opportunities.