Role Summary
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Senior Health actuarial leadership role (VP level) focused on commercial healthcare products in the United States. You will lead actuarial and health economics analyses, quantify clinical and financial impact using claims data, and shape value-based contracting and product launches. The role requires strong executive communication and collaboration with Sales, Finance, Medical Affairs, and Customer Success.
JOB DESCRIPTION SUMMARY
- Lead actuarial and health economics initiatives for commercial healthcare products
- Analyze large medical and pharmacy claims datasets to quantify clinical and financial impact
- Design performance guarantees and reserving strategies for commercial contracts
- Represent actuarial perspective in client meetings, conferences, and public forums
- VP-level role with domestic travel up to 20–30%
DOMAIN EXPERTISE
- Actuarial experience in healthcare organizations or health plans
- Analysis of medical and pharmacy claims datasets
- Health economic analyses and outcomes research for commercial products
- Design and management of performance guarantees and reserving strategies
- Knowledge of Medicare Advantage Star Ratings and quality metrics
KEY REQUIREMENTS
- 5+ years of actuarial experience in healthcare organizations, health plans, or related services
- Associate (ASA) or Fellow (FSA) of the Society of Actuaries required
- Proven experience analyzing medical and pharmacy claims and population health data
- Expertise in health economic analyses, outcomes research, and actuarial modeling
- Ability to travel domestically up to 20–30%
TECH STACK
- No tech stack specified