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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
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
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
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
Monogram Health

Senior Director, Client Actuarial Services

Monogram Health•Brentwood, United States•1d ago
Medicare AdvantageHealth OtherProduct Development & Plan DesignPredictive Modelling & MLBusiness Intelligence & Reporting