Director, Actuarial Services
Medicare AdvantageCommercial Employer HealthExperience StudiesReinsurance Structuring & PricingBusiness Intelligence & Reporting
Role Summary
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Director-level health actuarial role focused on value-based care economics and forecasting. You will build and maintain projection models, lead forecasting and reinsurance analytics, and deliver executive actuarial reporting. Senior role based in the United States reporting to the AVP of Actuarial Services.
JOB DESCRIPTION SUMMARY
- Lead forecasting and projection models for value-based care programs
- Analyze healthcare claims, trends, seasonality, and ADT-based projections
- Own central actuarial reporting for executive audiences with clear narratives
- Lead reinsurance analytics including treaty interpretation and ceded claims
- Work cross-functionally with Medical Economics, Clinical, and BD teams
DOMAIN EXPERTISE
- Healthcare actuarial experience
- Value-based care economics and contract structures
- Forecasting and assumption management
- 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
- Proficiency in MS Excel for building actuarial models and reports
- Experience with value-based care economics and arrangements
TECH STACK
- Excel
- Databricks
