Director, Actuarial Services (Remote)

Position Overview

• Location Type: Remote (United States)
• Employment Type: Full Time
• Salary: Not provided

The Director, Actuarial Services will apply a rigorous analytical approach to value-based care contracts, specifically focused on evaluating and managing and forecasting risk within Aledade’s Medicare Advantage, Commercial and Medicaid contracts. This person will develop actuarial models to evaluate potential financial impacts under a wide range of performance scenarios that will be an input to our reporting and disclosure processes and will inform risk evaluation and mitigation efforts across all of Aledade. This role will support and report to the Chief Actuary in leading the effort to develop more mature and formal actuarial and economic frameworks for evaluating value-based care contracts and deal terms, and translating high-level strategic targets and constraints into quantitatively defined perspectives on risk decision architecture across multiple lines of business. This role will also work closely with and support Aledade’s internal Finance and Performance teams.

Requirements

• Experience: 12+ years in healthcare with health plans, provider groups or consulting firms within value-based care
• Actuarial Analysis Experience: 8+ years doing healthcare actuarial analyses
• Education: Bachelor’s degree in Finance, Economics, Actuarial Sciences, Statistics, Math or another quantitative field
• Designations: Fellow of the Society of Actuaries (FSA) or Associate of the Society of Actuaries (ASA)

Responsibilities

• Develop and maintain an actuarial/economic framework for evaluating risk in value-based care contracts across MA, 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.
• Support and report to the Chief Actuary in leading the effort to develop more mature and formal actuarial and economic frameworks.
• Translate high-level strategic targets and constraints into quantitatively defined perspectives on risk decision architecture.
• Work closely with and support Aledade’s internal Finance and Performance teams.

Preferred Knowledge, Skills, and Abilities

• Education (Advanced): Master’s degree or other advanced degrees in finance, economics, actuarial sciences, statistics, math or another quantitative field.
• Technical Skills:
  • Data manipulation skills, including strong experience with Excel and working knowledge of SQL.
  • Basic skills with Python, R, and/or other similar analytics-oriented programming.
• Software Proficiency:
  • Google Workspace (Google Docs, Sheets, and Slides)
  • Microsoft Office (Word, Powerpoint, and Excel)
• Healthcare Knowledge: Knowledge of standard methods for measuring health care utilization, spending, quality, and outcomes; risk adjustment, provider profiling, and related analytical tasks.
• Communication Skills: Strong ability to communicate actuarial concepts and results to a range of audiences including non-actuarial leaders and colleagues.
• Project Management: Demonstrated ability to independently lead and execute complex, high-visibility projects with multiple stakeholders.
• Relationship Building: Proven track record of creating, maintaining, and enhancing relationships and communicating effectively with senior management.
• Attention to Detail: Intense attention to detail.

Application Instructions

• Not provided