Director, Actuarial Services
FlexibleMedicare AdvantageHealth OtherPricing & RatingBusiness Intelligence & ReportingProduct Development & Plan Design
Role Summary
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Director-level health actuarial role focused on Medicare value-based programs (ACO REACH, MSSP) and Medicare Advantage. You will lead a team to produce monthly forecasts, budgets, and shared-savings projections for provider organization partners, design actuarial processes, and support bid preparation. Remote-friendly US role with strategic cross-functional collaboration across clinical, finance, and strategy teams.
JOB DESCRIPTION SUMMARY
- Lead Actuarial Services for Medicare value-based programs and Medicare Advantage
- Own monthly financial forecasts, annual budgets, and shared-savings projections
- Manage and mentor a small to mid-sized team of actuaries
- Build forecasting and value-based care modeling tools; present results in PowerPoint
- Use Excel and SQL and/or SAS for data analysis and modeling
DOMAIN EXPERTISE
- Medicare Advantage bid preparation
- financial forecasting and budgeting for provider organizations
- shared savings/value-based care modeling
- advanced Excel modeling
- data analysis using SQL and/or SAS
KEY REQUIREMENTS
- Bachelor’s degree required in actuarial science, math, stats, economics or related
- ASA or FSA and membership in the American Academy of Actuaries required
- 8+ years of actuarial experience with increasing responsibility
- 2+ years managing a team
- Relevant Medicare Advantage bid preparation experience
TECH STACK
- Excel
- PowerPoint
