Director, Actuarial Services
Medicare AdvantageHealth OtherReserving & ValuationBusiness Intelligence & ReportingReinsurance Structuring & Pricing
Role Summary
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Director-level health actuarial role focused on value-based care (VBC) economics and forecasting in the United States. You will lead projection and forecasting models, manage assumption refreshes and reinsurance analytics, and deliver executive-level actuarial reporting. The role partners with Medical Economics, Clinical, Legal and Business Development to evaluate VBC contracts and financial implications.
JOB DESCRIPTION SUMMARY
- Lead actuarial modeling and forecasting for value-based care programs
- Develop and maintain ADT-based claims projection and seasonality models
- Own reinsurance analytics, treaty interpretation, and ceded claims estimates
- Deliver executive reporting with narratives, variance drivers, and strategy
- Use Excel and SQL/Databricks to operationalize forecasts and analyses
DOMAIN EXPERTISE
- Value-based healthcare economics
- Healthcare claims and utilization analysis
- Projection and forecasting of claims
- Reinsurance analytics and treaty interpretation
KEY REQUIREMENTS
- Minimum 8 years of healthcare actuarial experience
- Associate of the Society of Actuaries (ASA) required
- Bachelor’s degree in actuarial science, mathematics, or related field
- Experience with value-based healthcare economics and arrangements
- Proficiency in MS Excel for building actuarial models
TECH STACK
- Excel
- Databricks
