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Role Summary

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HIGHLIGHTS

Director-level health actuarial role focused on value-based care (VBC) financial modeling and projections. You will develop and maintain VBC projection and valuation models, reconcile settlements, and partner with clinical, strategy, legal, and business development teams. Role is based in Nashville, TN or may be performed remotely and reports to the VP of Actuarial Services.

JOB DESCRIPTION SUMMARY

  • Lead actuarial modeling for value-based care programs and financial projections
  • Develop projection and valuation models; reconcile VBC settlements monthly
  • Partner with clinical, strategy, legal, and business development teams
  • Director-level role reporting to VP of Actuarial Services; Nashville or remote
  • Use Excel and code (R/Python/SQL) to build analytical tools and trends

DOMAIN EXPERTISE

  • Value-Based Care economics and arrangements
  • CMS HCC risk score model for non-ESRD and ESRD populations
  • Healthcare claims data analysis and projection modeling

KEY REQUIREMENTS

  • Bachelor's degree in actuarial science, mathematics, or related field
  • Associate of the Society of Actuaries (ASA) required
  • 8–10 years of healthcare experience
  • Experience with Value-Based Care economics and arrangements
  • Familiarity with CMS HCC risk score models and R/Python/SQL

TECH STACK

  • Excel
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Role Summary

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HIGHLIGHTS

Director-level health actuarial role focused on value-based care (VBC) financial modeling and projections. You will develop and maintain VBC projection and valuation models, reconcile settlements, and partner with clinical, strategy, legal, and business development teams. Role is based in Nashville, TN or may be performed remotely and reports to the VP of Actuarial Services.

JOB DESCRIPTION SUMMARY

  • Lead actuarial modeling for value-based care programs and financial projections
  • Develop projection and valuation models; reconcile VBC settlements monthly
  • Partner with clinical, strategy, legal, and business development teams
  • Director-level role reporting to VP of Actuarial Services; Nashville or remote
  • Use Excel and code (R/Python/SQL) to build analytical tools and trends

DOMAIN EXPERTISE

  • Value-Based Care economics and arrangements
  • CMS HCC risk score model for non-ESRD and ESRD populations
  • Healthcare claims data analysis and projection modeling

KEY REQUIREMENTS

  • Bachelor's degree in actuarial science, mathematics, or related field
  • Associate of the Society of Actuaries (ASA) required
  • 8–10 years of healthcare experience
  • Experience with Value-Based Care economics and arrangements
  • Familiarity with CMS HCC risk score models and R/Python/SQL

TECH STACK

  • Excel

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Job Overview

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

Ideal Candidate Profile

Director-level health actuary (ASA) with 8–10 years in healthcare and strong VBC modeling experience, familiar with CMS HCC and comfortable coding in R/Python/SQL and building models in Excel.

ASA

Benefits

Health InsuranceDental InsuranceVision InsuranceLife InsuranceShort/Long Term DisabilityHSA/FSA Available401(k) PlanHigh 401(k) MatchPaid Parental LeaveWellness Program
Shortlist Forming
Closing Soon
44d
44 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
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Director-level health actuary (ASA) with 8–10 years in healthcare and strong VBC modeling experience, familiar with CMS HCC and comfortable coding in R/Python/SQL and building models in Excel.

ASA

Benefits

Health InsuranceDental InsuranceVision InsuranceLife InsuranceShort/Long Term DisabilityHSA/FSA Available401(k) PlanHigh 401(k) MatchPaid Parental LeaveWellness Program
Shortlist Forming
Closing Soon
44d
44 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."

Health/Other/Director Level
Monogram Health

Director Actuarial Services

Monogram Health•United States•1mo ago
FlexibleMedicare AdvantageHealth OtherReserving & ValuationProduct Development & Plan DesignPredictive Modelling & ML