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Role Summary

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HIGHLIGHTS

Director-level health actuarial role focused on value-based care across Commercial and Medicaid lines. You will build forecasting and actuarial/economic frameworks, develop scenario-based models, and support contracting and risk mitigation. Remote-first role reporting to the Chief Actuary, supporting Finance and Performance teams (US-based).

JOB DESCRIPTION SUMMARY

  • Lead Commercial and Medicaid value-based care forecasting and monthly forecast process
  • Develop actuarial/economic frameworks to evaluate contract risk and scenarios
  • Support contract negotiation and present mitigation recommendations
  • Work cross-functionally with Finance, Performance, and contracting teams
  • Director role; FSA or ASA required; remote-first in the United States

DOMAIN EXPERTISE

  • value-based care Commercial and Medicaid models
  • Medicare Advantage mechanisms (STARS, MA bid process)
  • forecasting premiums, costs, and MLR for MA
  • contract negotiation support for VBC contracts

KEY REQUIREMENTS

  • 12+ years in healthcare and 8+ years performing healthcare actuarial analyses
  • Experience with Commercial and Medicaid value-based care models
  • FSA or ASA designation required
  • Bachelor's degree in a quantitative field required
  • Strong Excel skills and working knowledge of SQL; basic Python/R familiarity

TECH STACK

  • Excel
  • PowerPoint
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Role Summary

Loading...

HIGHLIGHTS

Director-level health actuarial role focused on value-based care across Commercial and Medicaid lines. You will build forecasting and actuarial/economic frameworks, develop scenario-based models, and support contracting and risk mitigation. Remote-first role reporting to the Chief Actuary, supporting Finance and Performance teams (US-based).

JOB DESCRIPTION SUMMARY

  • Lead Commercial and Medicaid value-based care forecasting and monthly forecast process
  • Develop actuarial/economic frameworks to evaluate contract risk and scenarios
  • Support contract negotiation and present mitigation recommendations
  • Work cross-functionally with Finance, Performance, and contracting teams
  • Director role; FSA or ASA required; remote-first in the United States

DOMAIN EXPERTISE

  • value-based care Commercial and Medicaid models
  • Medicare Advantage mechanisms (STARS, MA bid process)
  • forecasting premiums, costs, and MLR for MA
  • contract negotiation support for VBC contracts

KEY REQUIREMENTS

  • 12+ years in healthcare and 8+ years performing healthcare actuarial analyses
  • Experience with Commercial and Medicaid value-based care models
  • FSA or ASA designation required
  • Bachelor's degree in a quantitative field required
  • Strong Excel skills and working knowledge of SQL; basic Python/R familiarity

TECH STACK

  • Excel
  • PowerPoint

Job Overview

Salary
Salary not specified
Years of Experience
12+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Senior health actuary (Director) with 12+ years in healthcare and 8+ years of actuarial analyses in Commercial/Medicaid VBC, ASA or FSA, strong forecasting and SQL/Python skills, and experience influencing senior stakeholders.

FSAASA

Benefits

Remote FirstHealth InsuranceDental InsuranceVision InsuranceGenerous VacationPaid Parental Leave401(k) PlanEquity/Stock OptionsTuition Reimbursement
Shortlist Forming
Closing Soon
73d
73 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
Salary not specified
Years of Experience
12+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Senior health actuary (Director) with 12+ years in healthcare and 8+ years of actuarial analyses in Commercial/Medicaid VBC, ASA or FSA, strong forecasting and SQL/Python skills, and experience influencing senior stakeholders.

FSAASA

Benefits

Remote FirstHealth InsuranceDental InsuranceVision InsuranceGenerous VacationPaid Parental Leave401(k) PlanEquity/Stock OptionsTuition Reimbursement
Shortlist Forming
Closing Soon
73d
73 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

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Aledade

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Aledade•Bethesda, United States•2mo ago
RemoteCommercial Employer HealthMedicaidMedicare AdvantagePredictive Modelling & MLExperience StudiesBusiness Intelligence & Reporting