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Role Summary

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HIGHLIGHTS

Director-level health actuarial role in Emeryville, CA overseeing pricing, underwriting, valuation, and medical cost analytics for value-based payment relationships. You will lead actuarial and underwriting departments supporting Sutter Health's licensed insurance entities, reinsurance arrangements, and capitation models. Requires ASA or FSA and significant health plan pricing and valuation experience.

JOB DESCRIPTION SUMMARY

  • Lead actuarial and underwriting departments for value-based payment relationships
  • Oversee pricing, product development, medical cost analytics, and valuation
  • Support reinsurance arrangements and ensure adequate reserves and rates
  • Work on capitated delegated models and government programs like Medicare/Medicaid
  • Based in Emeryville, CA; full-time, exempt director role

DOMAIN EXPERTISE

  • Health plan pricing and valuation
  • Capitated delegated model and capitation terms
  • Medicare and Medicaid program knowledge
  • Claims, Enrollment and Revenue data analytics
  • Reinsurance and payer risk arrangements

KEY REQUIREMENTS

  • ASA or FSA required
  • 6-8 years recent relevant actuarial experience
  • Extensive health plan pricing, valuation, and capitation experience
  • Deep knowledge of Claims, Enrollment, and Revenue data
  • Proficiency with MG-ALFA, SAS and analytics platforms like MedeAnalytics

TECH STACK

  • Other_BI_Tool
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Role Summary

Loading...

HIGHLIGHTS

Director-level health actuarial role in Emeryville, CA overseeing pricing, underwriting, valuation, and medical cost analytics for value-based payment relationships. You will lead actuarial and underwriting departments supporting Sutter Health's licensed insurance entities, reinsurance arrangements, and capitation models. Requires ASA or FSA and significant health plan pricing and valuation experience.

JOB DESCRIPTION SUMMARY

  • Lead actuarial and underwriting departments for value-based payment relationships
  • Oversee pricing, product development, medical cost analytics, and valuation
  • Support reinsurance arrangements and ensure adequate reserves and rates
  • Work on capitated delegated models and government programs like Medicare/Medicaid
  • Based in Emeryville, CA; full-time, exempt director role

DOMAIN EXPERTISE

  • Health plan pricing and valuation
  • Capitated delegated model and capitation terms
  • Medicare and Medicaid program knowledge
  • Claims, Enrollment and Revenue data analytics
  • Reinsurance and payer risk arrangements

KEY REQUIREMENTS

  • ASA or FSA required
  • 6-8 years recent relevant actuarial experience
  • Extensive health plan pricing, valuation, and capitation experience
  • Deep knowledge of Claims, Enrollment, and Revenue data
  • Proficiency with MG-ALFA, SAS and analytics platforms like MedeAnalytics

TECH STACK

  • Other_BI_Tool

Job Overview

Salary
$184k - $294k
Years of Experience
6+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a Director-level health actuary (ASA or FSA) with 6–8 years in health plan pricing, capitation and valuation who is skilled in medical cost analytics and actuarial/statistical software.

ASAFSA

Benefits

Shortlist Forming
Closing Soon
30d
30 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
$184k - $294k
Years of Experience
6+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a Director-level health actuary (ASA or FSA) with 6–8 years in health plan pricing, capitation and valuation who is skilled in medical cost analytics and actuarial/statistical software.

ASAFSA

Benefits

Shortlist Forming
Closing Soon
30d
30 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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Health/Other/Director Level
Sutter Health

Director, Actuary

Sutter Health•Emeryville, United States•1mo ago
OnsiteMedicare AdvantageMedicaidIndividual HealthCommercial Employer HealthPricing & RatingProduct Development & Plan DesignReserving & Valuation