Director of Actuarial Services - Remote

Primary Responsibilities

• Lead the development and oversight of actuarial models and forecasts to support value-based Medicare Advantage, Commercial, and Medicaid risk arrangements
• Develop and recommend actuarially sound financial terms to effectively manage risk in risk based arrangements
• Analyze large, complex financial, claims, utilization, and cost data sets to assess performance, risk, and opportunities
• Translate complex analytical findings into clear, actionable insights for operators, provider partners, finance leadership, and senior executives
• Provide actuarial expertise and strategic recommendations to support contract negotiations, performance tracking, and risk management
• Drive strategic initiatives, process improvements, and innovation through predictive modeling and creative problem solving
• Possess the ability to identify cost mitigation opportunities and support enterprise-wide initiatives
• Ensure day-to-day execution of actuarial and analytic work, ensuring quality, efficiency, and alignment with business goals
• Communicate effectively with technical and non-technical audiences through presentations, discussions, and written materials
• Serve as a key resource for risk-taking provider organizations and physician groups
• Manage, mentor, and develop a team of managers and analysts, including performance management, talent development, and succession planning

Required Qualifications

• ASA (Associate of the Society of Actuaries)
• 5+ years of actuarial experience with foundational literacy in healthcare analytics and modeling
• 3+ years of experience with any of the following: Medicare Advantage (MA) products, Medicare bids, and/or VBC modeling
• 2+ years of experience managing actuarial analysts
• Proficiency in Excel and SQL
• Proven excellent problem-solving and communication skills, along with critical thinking skills to anticipate questions from key stakeholders and consider all aspects of a deliverable before completion

Preferred Qualifications

• FSA, or progress toward FSA (Associate/Fellowship of the Society of Actuaries) designation
• Experienced presenting business insights and summaries to inform decisions to stakeholders
• Proven ability to self-motivate, quickly learn new business concepts and take initiatives