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Role Summary

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HIGHLIGHTS

Senior Director, Client Actuarial Services (Health) focused on value-based care and Medicare Advantage. You will lead actuarial modeling and projection work for client partnerships, reconcile settlements, and translate claims-based forecasts into contract economics. Role is based in Brentwood, TN and reports to the VP of Client Actuarial Services.

JOB DESCRIPTION SUMMARY

  • Lead actuarial analytics for value-based care client partnerships
  • Develop and maintain projection models and reconcile settlements
  • Translate claims data into financial results using R/Python/SQL and Excel
  • Partner with strategy, clinical, legal, and BD teams on VBC economics
  • Director-level role reporting to VP of Client Actuarial Services in Brentwood, TN

DOMAIN EXPERTISE

  • Value-Based Care economics and arrangements
  • CMS HCC risk score modeling for non-ESRD and ESRD populations
  • Healthcare claims data analysis and forecasting
  • Projection model development and settlement reconciliation

KEY REQUIREMENTS

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

TECH STACK

  • Excel
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Role Summary

Loading...

HIGHLIGHTS

Senior Director, Client Actuarial Services (Health) focused on value-based care and Medicare Advantage. You will lead actuarial modeling and projection work for client partnerships, reconcile settlements, and translate claims-based forecasts into contract economics. Role is based in Brentwood, TN and reports to the VP of Client Actuarial Services.

JOB DESCRIPTION SUMMARY

  • Lead actuarial analytics for value-based care client partnerships
  • Develop and maintain projection models and reconcile settlements
  • Translate claims data into financial results using R/Python/SQL and Excel
  • Partner with strategy, clinical, legal, and BD teams on VBC economics
  • Director-level role reporting to VP of Client Actuarial Services in Brentwood, TN

DOMAIN EXPERTISE

  • Value-Based Care economics and arrangements
  • CMS HCC risk score modeling for non-ESRD and ESRD populations
  • Healthcare claims data analysis and forecasting
  • Projection model development and settlement reconciliation

KEY REQUIREMENTS

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

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 value-based care and Medicare Advantage who builds projection models and uses R/Python/SQL to translate claims data into contract economics.

ASA

Benefits

Study Program FormalRaise On PassHealth InsuranceDental InsuranceVision Insurance401(k) PlanPaid Parental LeaveGenerous VacationWellness Program
Active Screening
Standard Review
5d
5 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

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 value-based care and Medicare Advantage who builds projection models and uses R/Python/SQL to translate claims data into contract economics.

ASA

Benefits

Study Program FormalRaise On PassHealth InsuranceDental InsuranceVision Insurance401(k) PlanPaid Parental LeaveGenerous VacationWellness Program
Active Screening
Standard Review
5d
5 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

Health/Other/Director Level
Monogram Health

Senior Director, Client Actuarial Services

Monogram Health•Brentwood, United States•5d ago
Medicare AdvantageHealth OtherProduct Development & Plan DesignPredictive Modelling & MLBusiness Intelligence & Reporting