Director, Actuarial Services at Aledade

Bethesda, Maryland, United States

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Not SpecifiedCompensation

Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

12+ years in healthcare with health plans, provider groups or consulting firms and 8+ years doing healthcare actuarial analyses; experience in value-based care especially exposure to Commercial and Medicaid VBC models
Bachelor’s degree in Finance, Economics, Actuarial Sciences, Statistics, Math or another quantitative field
Fellow of the Society of Actuaries (FSA) or Associate of the Society of Actuaries (ASA) designation

Responsibilities

Develop and enhance Commercial and Medicaid contracts forecast model, and lead monthly forecast process
Work with contracting team to support contract negotiation including new contracts and contract renewal
Develop and maintain an actuarial/economic framework for evaluating risk in value-based care contracts across Commercial and Medicaid contracts
Identify risks that exceed specific thresholds and develop and present mitigation recommendations
Interface cross-functionally and perform analyses to fulfill the requirements of other Aledade teams

Skills

Key technologies and capabilities for this role

Actuarial ModelingRisk ForecastingValue-Based CareCommercial ContractsMedicaid ContractsContract NegotiationForecast ModelingStatistical AnalysisHealthcare Analytics

Questions & Answers

Common questions about this position

What experience is required for the Director, Actuarial Services role?

Candidates need 12+ years in healthcare with health plans, provider groups or consulting firms, and 8+ years doing healthcare actuarial analyses, with experience in value-based care especially Commercial and Medicaid VBC models. A Bachelor’s degree in Finance, Economics, Actuarial Sciences, Statistics, Math or another quantitative field is required, along with Fellow of the Society of Actuaries (FSA) or Associate (ASA) designation.

Is this position remote-friendly?

Yes, the role is flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely in the United States.

What is the salary for this position?

This information is not specified in the job description.

What technical skills are preferred for this role?

Preferred skills include data manipulation with strong Excel experience, working knowledge of SQL, basic skills with Python, R or similar, and experience with Google Workspace and Microsoft Office. Knowledge of health care utilization, spending, quality, risk adjustment, and provider profiling is also preferred.

What makes a strong candidate for this position?

A strong candidate will have a Master’s or advanced degree in a quantitative field, strong communication skills to explain actuarial concepts to non-actuarial audiences, and demonstrated ability to independently lead complex, high-visibility projects.

Aledade

Supports independent primary care practices

About Aledade

Aledade operates in the primary care sector, focusing on supporting independent primary care practices. The company provides these practices with essential support and data to help them navigate the challenges of the changing healthcare landscape. Aledade offers personalized, on-the-ground assistance, ensuring that practices have timely access to the right data to improve the quality of care they deliver to their communities. Additionally, Aledade has developed a proprietary technology application that gives practices insights about their patients, further enhancing their care capabilities. Unlike many competitors, Aledade is dedicated to the success of independent practices, making it the largest network of its kind in the nation. The company's goal is to empower these practices to thrive and provide high-quality care through its support services and technology.

Bethesda, MarylandHeadquarters

2014Year Founded

$662MTotal Funding

SERIES_FCompany Stage

Enterprise Software, HealthcareIndustries

1,001-5,000Employees

Risks

Increased competition from platforms like Privia Health threatens Aledade's market share.

Integration challenges from acquiring Medical Advantage may disrupt operations in Michigan.

Rapid technological advancements require continuous updates to Aledade's technology platform.

Differentiation

Aledade partners with independent primary care physicians to create Accountable Care Organizations.

The company offers a proprietary technology platform for timely patient insights.

Aledade provides personalized, on-the-ground support to enhance care quality.

Upsides

Aledade's acquisition of Medical Advantage expands its presence in Michigan significantly.

The rise of telehealth creates new opportunities for Aledade's primary care practices.

Aledade's focus on value-based care aligns with increasing demand for ACOs.

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