Senior Director of Provider Actuarial Services - Remote
RemoteMedicare AdvantageHealth OtherProduct Development & Plan DesignPredictive Modelling & MLUW Support & Portfolio Management
Role Summary
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Senior Director, Health actuarial role focused on provider actuarial services for value based care and risk arrangements. Lead a team to design provider-focused actuarial models, risk adjustment, capitation and forecasting for Medicare ACO programs. Remote within the U.S., with senior client advisory and advanced analytics/AI responsibilities.
JOB DESCRIPTION SUMMARY
- Lead provider actuarial services focused on value-based care and risk arrangements
- Design risk adjustment, capitation, and forecasting models for Medicare ACOs
- Integrate ML and AI into actuarial forecasting using large healthcare datasets
- Remote role (U.S.); Minneapolis/DC hires require 4 days/week in office
- Senior leader: 10+ years healthcare actuarial experience and ASA/FSA required
DOMAIN EXPERTISE
- Healthcare actuarial experience
- Provider contracting and risk arrangements
- Medicare ACO programs (ACO REACH, MSSP)
- Data science and AI applied to healthcare actuarial work
KEY REQUIREMENTS
- ASA or FSA designation required
- 10+ years of healthcare actuarial experience
- 5+ years of people leadership and project management
- Hands-on experience with data science and AI (ML, predictive modeling, NLP)
- Deep expertise in provider contracting and risk arrangements
TECH STACK
- No tech stack specified
