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Role Summary

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HIGHLIGHTS

Director-level pricing role within a specialty healthcare risk business (Chatham EOL), focused on value-based care. You will evaluate, price, and manage risk for provider organizations under Aggregate Excess of Loss contracts. The role involves developing actuarial models, analyzing healthcare claims, and shaping underwriting strategy in a fast-growing, entrepreneurial environment backed by Goldman Sachs.

JOB DESCRIPTION SUMMARY

  • Lead pricing and risk evaluation for Aggregate Excess of Loss business
  • Analyze provider risk arrangements across Medicare Advantage, Commercial, and Medicaid
  • Develop actuarial models to support underwriting and portfolio strategy
  • Remote role within the US, ideally near Fort Wayne, IN
  • FSA or ASA required; deep value-based care expertise expected

DOMAIN EXPERTISE

  • Value-based care programs and provider risk arrangements
  • Healthcare claims analytics and risk adjustment
  • Pricing or evaluating provider risk contracts

KEY REQUIREMENTS

  • ASA or FSA (or equivalent actuarial credentials)
  • 7+ years in a major health payer or healthcare consulting
  • Deep expertise in value-based care programs and provider risk arrangements
  • Strong claims analytics, risk adjustment, and medical economics background
  • Experience with Medicare Advantage, Commercial, Medicaid, ACO, or MSSP

TECH STACK

  • No tech stack specified
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Role Summary

Loading...

HIGHLIGHTS

Director-level pricing role within a specialty healthcare risk business (Chatham EOL), focused on value-based care. You will evaluate, price, and manage risk for provider organizations under Aggregate Excess of Loss contracts. The role involves developing actuarial models, analyzing healthcare claims, and shaping underwriting strategy in a fast-growing, entrepreneurial environment backed by Goldman Sachs.

JOB DESCRIPTION SUMMARY

  • Lead pricing and risk evaluation for Aggregate Excess of Loss business
  • Analyze provider risk arrangements across Medicare Advantage, Commercial, and Medicaid
  • Develop actuarial models to support underwriting and portfolio strategy
  • Remote role within the US, ideally near Fort Wayne, IN
  • FSA or ASA required; deep value-based care expertise expected

DOMAIN EXPERTISE

  • Value-based care programs and provider risk arrangements
  • Healthcare claims analytics and risk adjustment
  • Pricing or evaluating provider risk contracts

KEY REQUIREMENTS

  • ASA or FSA (or equivalent actuarial credentials)
  • 7+ years in a major health payer or healthcare consulting
  • Deep expertise in value-based care programs and provider risk arrangements
  • Strong claims analytics, risk adjustment, and medical economics background
  • Experience with Medicare Advantage, Commercial, Medicaid, ACO, or MSSP

TECH STACK

  • No tech stack specified

Job Overview

Salary
$175k - $225k
Years of Experience
7+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a credentialed actuary (ASA or FSA) with 7+ years in health payer or healthcare consulting, deep expertise in value-based care programs and provider risk arrangements, and a desire to build strategy in a growing specialty insurance business.

ASAFSAOther

Benefits

Bonus EligibleAnnual Bonus401(k) PlanHealth InsuranceDental InsuranceVision InsuranceLife InsuranceShort/Long Term DisabilityUnlimited VacationRemote First
Fresh Role
Premium Window
0d
Posted Today

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
$175k - $225k
Years of Experience
7+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a credentialed actuary (ASA or FSA) with 7+ years in health payer or healthcare consulting, deep expertise in value-based care programs and provider risk arrangements, and a desire to build strategy in a growing specialty insurance business.

ASAFSAOther

Benefits

Bonus EligibleAnnual Bonus401(k) PlanHealth InsuranceDental InsuranceVision InsuranceLife InsuranceShort/Long Term DisabilityUnlimited VacationRemote First
Fresh Role
Premium Window
0d
Posted Today

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."

Director, Value Based Care Pricing Actuary

AGIA Affinity

Health/Insurer/Director Level
AGIA Affinity

Director, Value Based Care Pricing Actuary

AGIA Affinity
Fort Wayne, Indiana, United States•2h ago
RemoteStop LossMedicare AdvantageMedicaidACA Exchange

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