Director, Actuarial Services

About the role

As a Director, Actuarial Services within Thyme Care, you will help lead the development, implementation, and oversight of actuarial models and financial frameworks that support our value-based care partnerships. You will take ownership of end-to-end actuarial functions, including reserving, forecasting, contract reconciliations, and other performance-related actuarial support. Working cross-functionally, you will evaluate contract performance and provide strategic guidance for a portfolio of partners, including risk-based entities, regional plans, and national plans. This is a high-profile position that will regularly collaborate with the C-suite and help advance financial structures through actuarial studies and industry expertise.

Responsibilities

• Lead the development and reporting for a portfolio of Thyme Care partner’s total cost of care savings performance estimates, ensuring the accuracy of the underlying data and methodological consistency with risk-based contracts and actuarial standards.
• Lead annual financial reconciliations for a portfolio of Thyme Care partner’s value-based contracts, coordinating internal data resources to execute reconciliations and directly interface with actuarial counterparts at existing partners to validate results.
• Provide guidance on the fidelity of performance estimates, identify/quantify financial risks and opportunities, and advise the Finance team on revenue recognition decisions tied to projected shared savings.
• Help identify and evaluate areas of potential underperformance, providing interpretation of results and partnering with health economics and clinical teams to find root causes of emerging issues.
• Execute actuarial analyses and develop models that allow Thyme Care to quantify the financial and risk trade-offs between different contract features in value-based arrangements.
• Support the development and maintenance of financial models that map the organization’s clinical and operational activities to outcomes that drive Thyme Care’s financial performance.

Requirements

• Bachelor's degree in Statistics, Actuarial Sciences, Economics, Math or other quantitative discipline
• Associateship or Fellowship from the Society of Actuaries (ASA or FSA)
• 8+ years of actuarial experience in health care and/or medical economics
• 2+ years of experience mentoring junior staff members
• Understanding of Medicare Advantage health plan data (Claims, MMR, MAO-04, etc.)
• Experience using SQL or another coding language to pull and transform data in a structured manner from large healthcare claims databases
• Proficiency in writing clean, efficient code and maintaining strong data management practices
• Experience working across organizations, building rapport with data teams as well as downstream consumers

Qualifications (Preferred)

• 3+ years of experience in value-based care arrangements and contracting, with a focus on reserving and forecasting for shared savings programs, shared risk programs, and/or global capitation
• Strong communication skills and demonstrated ability to articulate the “Here’s What”, the “So What”, and the “Now What” to executive audiences or external parties
• A strong understanding of financial and clinical metrics used in healthcare and strong working knowledge of industry standards for presenting data
• Experience developing financial models and/or forecasts in Excel that evaluate the cost of care impact of different clinical interventions
• Familiarity with BI Tools like Looker, Tableau, or Power BI
• Understanding of pharmacy benefits and/or Medicare Part D

Skills

• Act with our members in mind: Thyme Care’s mission, and particularly our member experience, matters deeply to you.
• Critical eye for detail: Not only do you maintain high standards for data accuracy, presentation and documentation, you have a natural ability to detect data anomalies and identify when outputs look suspicious and warrant further investigation.
• Move with purpose: You’re biased to action. You know how to identify and prioritize your initiative’s needs; and you do what it takes to ensure that urgent and important needs are acted on immediately.
• Comfort with ambiguity: You have a proven track record of success within scaling businesses, fast-paced environments, and startups. You understand that rapid changes to the business, strategy, organization, and priorities are par for the course.
• Expertise: You have a solid understanding of healthcare data and financial concepts; and you can use analytic methods to drive tactical decisions and strategic plans. You’re an expert in right sizing solutions and tailoring your communication to your audience.

Pay

The base salary for this role is $190,000 to $210,000. The salary range could be lower or higher than this if the role is hired at another level.