Job Category: Chief Actuary
Job Type: Full Time Remote
Job Location: United States

We seek a highly experienced Chief Actuary to lead the actuarial function within our organization. This key leadership role is responsible for forecasting, reserving, and supporting contracting processes while driving data-driven insights into organizational strategy. The Chief Actuary will also oversee benchmarking activities, establish a Medical Economics Unit, and actively foster a culture of collaboration and mentorship across teams.

The role offers flexibility regarding remote work within the United States, requiring periodic travel.


Primary Responsibilities

1. Forecasting

  • Lead efforts to predict revenue and costs across business operations.
  • Build statistical models to assess variability in forecasts.
  • Collaborate with finance, performance, and analytics teams to develop short- and long-term forecasting models.

2. Reserving

  • Develop strategies to meet financial reserve and letter of credit requirements in partnership with finance and payer teams.
  • Lead actuarial negotiations with health plans, recommending cost-effective reserve solutions.

3. Contracting

  • Design and implement models to evaluate the financial terms of health plan contracts.
  • Support negotiation processes by analyzing financial risks and contract impacts on reserve requirements.
  • Lead actuarial negotiations during contract execution and reconciliation processes.

4. Benchmarking and Market Intelligence

  • Monitor actuarial trends among peers, health plans, and other market participants.
  • Translate trends into actionable assumptions for forecasting and resource planning.

5. Medical Economics Unit

  • Establish and lead a unit to analyze key cost drivers in at-risk populations.
  • Monitor and project the impact of pilots and interventions on population health and organizational costs.
  • Provide data-driven insights to internal and external stakeholders, including potential investors.

Qualifications

Minimum Requirements

  • Proven actuarial leadership experience in healthcare, with 15+ years of relevant education and work experience.
  • Deep understanding of government healthcare programs such as Medicare, Medicare Advantage, Medicaid, and the Affordable Care Act.
  • Fellowship-level certification from the Society of Actuaries or equivalent credential.
  • Strong quantitative skills, including expertise in statistical analysis and predictive modeling.
  • Experience negotiating multi-million-dollar contracts and collaborating on cross-functional initiatives.
  • Exceptional communication skills, with the ability to simplify complex actuarial concepts for diverse stakeholders.

Preferred Skills

  • Proficiency in data manipulation tools (e.g., SQL, R, SAS).
  • Familiarity with healthcare data, including claims and EHR systems.
  • Experience developing visualizations, dashboards, and reports for varied audiences.
  • Passion for advancing value-based care models.

Why Join Us?

This is an opportunity to lead a critical function at the intersection of analytics, healthcare policy, and operational strategy. You’ll work closely with a dynamic team, shaping the future of healthcare delivery while promoting a culture of innovation and collaboration.

If you’re a visionary leader with a strong actuarial foundation and a passion for value-based care, we encourage you to apply.

Apply for this position

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