Role Summary

HIGHLIGHTS

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

Role Summary

HIGHLIGHTS

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