Principal Actuary, Cost of Care

About the role

The Principal Actuary delivers a broad range of actuarial or analytical work, such as conducting pricing and actuarial strategy for a business segment, evaluating advanced care management models, performing competitive benchmarking analysis, and conducting economic value evaluation of cost containment initiatives. This role focuses on performance evaluations for both existing initiatives within the Cost of Care portfolio and newly proposed initiatives across clinical, pharmacy, network, payment integrity, value-based care, and other areas.

Responsibilities

• Accountable for completion of complex actuarial or analytical projects, ensuring timeliness, compliance, and quality of work.
• Provide proactive and strategic thought leadership to improve processes, reduce risks, and meet department and enterprise objectives for profitable growth and improved value, quality, and access for customers.
• Achieve segment financial targets and provide concise explanations of results and variances to expectations; act as a financial steward for the company.
• Communicate effectively with all levels and divisions within the organization, including Divisional Leadership.
• Manage external partnerships with vendors, auditors, regulators, and health care providers, including effective negotiation of contracts and/or rates.
• Develop and maintain strong business relationships with internal partners through business expertise and exceptional support; act as a strategic advisor.
• Meet continuing education standards required for job function, thought leadership, and maintenance of actuarial credentials.
• Develop measurement models for cost savings initiatives across strategic areas, including clinical care management, alternative payment arrangements, medical coding, and emerging drivers of trend.

Requirements

• Bachelor's degree or advanced degree in a related field.
• ASA designation (FSA preferred); exam takers may be considered based on other experience.
• 5+ years of relevant actuarial experience; related experience may be considered.

Skills

• SQL-based data queries and data management.
• Experience with data visualization applications such as Power BI and Tableau.
• Experience creating and presenting external, client-facing materials and reports.

Benefits

• Medical, dental, and vision coverage along with numerous health and wellness programs.
• Parental leave and support plus adoption and surrogacy assistance.
• Career development programs and tuition reimbursement for continued education.
• 401k match including an annual company contribution.
• Work-life balance, flexibility, and autonomy.

Pay

Base salary range: $118,691.00 - $189,906.00. Compensation decisions are driven by factors including experience, training, specialized skill sets, licensure, certifications, and business needs. The total rewards package includes an annual incentive bonus based on corporate goal achievement and individual performance, 401(k) with employer match, paid time off (PTO), and competitive health and wellness programs.