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Role Summary

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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
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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
Health/Other/Director Level
TurningPoint Healthcare

Director – Actuary (REMOTE)

TurningPoint Healthcare•Lake Mary, Florida, United States•2w ago
RemoteMedicare AdvantageMedicaidACA ExchangeCommercial Employer HealthPricing & RatingPredictive Modelling & MLUW Support & Portfolio Management

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

Shortlist Forming
Closing Soon
18d
18 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
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

Shortlist Forming
Closing Soon
18d
18 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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