acturhire
SalaryProPost a Job
Log in
CompaniesBlogBrowse JobsPost a JobPrivacy PolicyTerms and Conditions
© 2026 Acturhire. All rights reserved.
acturhire
SalaryProPost a Job
Log in
Back to Search

Role Summary

Loading...

HIGHLIGHTS

Senior healthcare actuarial leadership role (Director) focused on value-based care and payer-provider contracting. You will lead pricing, underwriting strategy, risk-adjustment and predictive modeling for Medicare/Medicaid/Marketplace and employer health clients, and build a high-performing actuarial team. The position is remote with corporate office in Lake Mary, FL.

JOB DESCRIPTION SUMMARY

  • Lead pricing and underwriting strategy for value-based care contracts
  • Design, build and monitor risk-adjustment models for Medicare/Medicaid/Marketplace
  • Drive predictive modeling, claim trend analysis and experience studies
  • Own financial reconciliation and fee schedule pricing for value-based contracts
  • Build and manage a multi-level actuarial team; present to clients and leadership

DOMAIN EXPERTISE

  • Healthcare actuarial experience
  • Risk adjustment modeling for Medicaid, Medicare, Marketplace
  • Value-based care contract pricing and reconciliation
  • Medical claims data analysis and experience studies

KEY REQUIREMENTS

  • ASA designation in the Society of Actuaries required
  • Membership in the American Academy of Actuaries required
  • Bachelor's degree in a quantitative field required

TECH STACK

  • No tech stack specified
acturhire
SalaryProPost a Job
Log in

Role Summary

Loading...

HIGHLIGHTS

Senior healthcare actuarial leadership role (Director) focused on value-based care and payer-provider contracting. You will lead pricing, underwriting strategy, risk-adjustment and predictive modeling for Medicare/Medicaid/Marketplace and employer health clients, and build a high-performing actuarial team. The position is remote with corporate office in Lake Mary, FL.

JOB DESCRIPTION SUMMARY

  • Lead pricing and underwriting strategy for value-based care contracts
  • Design, build and monitor risk-adjustment models for Medicare/Medicaid/Marketplace
  • Drive predictive modeling, claim trend analysis and experience studies
  • Own financial reconciliation and fee schedule pricing for value-based contracts
  • Build and manage a multi-level actuarial team; present to clients and leadership

DOMAIN EXPERTISE

  • Healthcare actuarial experience
  • Risk adjustment modeling for Medicaid, Medicare, Marketplace
  • Value-based care contract pricing and reconciliation
  • Medical claims data analysis and experience studies

KEY REQUIREMENTS

  • ASA designation in the Society of Actuaries required
  • Membership in the American Academy of Actuaries required
  • Bachelor's degree in a quantitative field required

TECH STACK

  • No tech stack specified

Job Overview

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

Ideal Candidate Profile

Director-level healthcare actuary (ASA, ideally near-FSA) with experience in value-based care and risk-adjustment modeling, strong leadership and client-facing skills, and proficiency with SQL/SAS/Python.

ASA

Benefits

Fresh Role
Premium Window
1d
1 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

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

Ideal Candidate Profile

Director-level healthcare actuary (ASA, ideally near-FSA) with experience in value-based care and risk-adjustment modeling, strong leadership and client-facing skills, and proficiency with SQL/SAS/Python.

ASA

Benefits

Fresh Role
Premium Window
1d
1 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Health/Other/Director Level
TurningPoint Healthcare

Director – Actuary (REMOTE)

TurningPoint Healthcare•Lake Mary, Florida, United States•1d ago
RemoteMedicare AdvantageMedicaidACA ExchangeCommercial Employer HealthPricing & RatingPredictive Modelling & MLUW Support & Portfolio Management

Similar Opportunities

AIG
5mo ago

Actuary & AVP - Lexington Property Pricing

AIG • PA-Philadelphia

Salary not specified
AIG
5mo ago

Senior Actuarial Analyst, Reserving - Workers Compensation

AIG • NY-New York

$100k - $125k
AIG
5mo ago

Actuary & Director - PCS

AIG • NY-New York

$159k - $204k

Similar Opportunities

AIG
5mo ago

Actuary & AVP - Lexington Property Pricing

AIG • PA-Philadelphia

Salary not specified
AIG
5mo ago

Senior Actuarial Analyst, Reserving - Workers Compensation

AIG • NY-New York

$100k - $125k
AIG
5mo ago

Actuary & Director - PCS

AIG • NY-New York

$159k - $204k