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Role Summary

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HIGHLIGHTS

Director-level health actuarial role at a BCBS insurer in Providence, RI. Lead actuarial analytics for alternative payment models, provider contracting, risk adjustment projections and pharmacy rebate modeling. Own financial forecasting and translate actuarial outputs into finance and contracting decisions. Senior role requiring ASA or FSA and 7–10 years of health actuarial experience, including Medicare Advantage.

JOB DESCRIPTION SUMMARY

  • Lead actuarial support for provider contracting and alternative payment models
  • Model financial impacts, forecast shared savings/losses, and settlement outcomes
  • Support risk adjustment projections and pharmacy rebate revenue forecasting
  • Integrate actuarial outputs into finance models and ledger entries
  • Director-level role based in Providence, RI with flexible onsite/hybrid/remote options

DOMAIN EXPERTISE

  • Alternative funding arrangements in healthcare
  • Medicare Advantage experience
  • Provider contracting and feasibility analysis
  • Risk adjustment projections and financial modeling

KEY REQUIREMENTS

  • ASA or FSA designation required
  • 7–10 years actuarial experience in health insurance
  • Medicare Advantage background required
  • Experience pricing and evaluating alternative funding arrangements in healthcare
  • Bachelor’s degree in a quantitative field (required)

TECH STACK

  • No tech stack specified
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Role Summary

Loading...

HIGHLIGHTS

Director-level health actuarial role at a BCBS insurer in Providence, RI. Lead actuarial analytics for alternative payment models, provider contracting, risk adjustment projections and pharmacy rebate modeling. Own financial forecasting and translate actuarial outputs into finance and contracting decisions. Senior role requiring ASA or FSA and 7–10 years of health actuarial experience, including Medicare Advantage.

JOB DESCRIPTION SUMMARY

  • Lead actuarial support for provider contracting and alternative payment models
  • Model financial impacts, forecast shared savings/losses, and settlement outcomes
  • Support risk adjustment projections and pharmacy rebate revenue forecasting
  • Integrate actuarial outputs into finance models and ledger entries
  • Director-level role based in Providence, RI with flexible onsite/hybrid/remote options

DOMAIN EXPERTISE

  • Alternative funding arrangements in healthcare
  • Medicare Advantage experience
  • Provider contracting and feasibility analysis
  • Risk adjustment projections and financial modeling

KEY REQUIREMENTS

  • ASA or FSA designation required
  • 7–10 years actuarial experience in health insurance
  • Medicare Advantage background required
  • Experience pricing and evaluating alternative funding arrangements in healthcare
  • Bachelor’s degree in a quantitative field (required)

TECH STACK

  • No tech stack specified

Job Overview

Salary
$160k - $267k
Years of Experience
7+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Director-level health actuary (ASA/FSA) with 7–10 years in health plans, strong Medicare Advantage and provider contracting experience, and proven financial modeling and stakeholder collaboration skills.

ASAFSA

Benefits

Hybrid WorkFlexible HoursHealth InsuranceDental InsuranceVision InsuranceBonus Eligible401(k) PlanTuition ReimbursementVolunteering ProgramGenerous Vacation
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

Salary
$160k - $267k
Years of Experience
7+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Director-level health actuary (ASA/FSA) with 7–10 years in health plans, strong Medicare Advantage and provider contracting experience, and proven financial modeling and stakeholder collaboration skills.

ASAFSA

Benefits

Hybrid WorkFlexible HoursHealth InsuranceDental InsuranceVision InsuranceBonus Eligible401(k) PlanTuition ReimbursementVolunteering ProgramGenerous Vacation
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Health/Insurer/Director Level
B

Actuarial Analytics Director - Alternative Payment Models

Blue Cross and Blue Shield of Rhode Island•United States•12h ago
FlexibleMedicare AdvantageHealth OtherPricing & RatingBusiness Intelligence & ReportingRegulatory Reporting

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