Director, Actuarial Services (Remote)
AledadeSalary not specified
- Internship
- Mid-level (3 to 4 years), Senior (5 to 8 years)
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
Candidates should possess a strong background in healthcare economics, data analysis, and strategic planning, coupled with a deep understanding of healthcare delivery systems and reimbursement models. They should have prior experience in a public company setting, understanding how to identify and manage medical cost drivers effectively, and demonstrate skills of a Medical Expense Actuary with operational, financial planning, and corporate finance analytical expertise. A Bachelor’s degree in Actuarial Science, Economics, Finance, or a related field is required, along with a strong understanding of financial performance and accountability.
Responsibilities
The Director of Medical Economics will be responsible for driving P&L ownership for medical costs across the organization, leading a cross-functional process to identify, quantify, and track activities related to medical expenses and their impact on earnings. This includes developing and implementing cross-functional, strategic initiatives to improve medical cost and quality, such as provider reimbursement strategies and utilization management programs. The role involves conducting in-depth analyses of healthcare utilization patterns and cost drivers, collaborating closely with internal stakeholders to inform and drive key operational and strategic decisions, and linking medical expense management directly to overall financial performance.
Skills
Healthcare Economics
Data Analysis
Strategic Planning
Healthcare Delivery Systems
Reimbursement Models
Cost Optimization
Financial Performance Management
Devoted Health
Medicare Advantage plans with personalized support
About Devoted Health
Devoted Health provides Medicare Advantage plans aimed at simplifying and making healthcare more affordable for seniors aged 65 and older. Their plans include services like provider and pharmacy searches, prescription drug coverage, and preventive care rewards. Members pay premiums for these plans, and the company may also receive government payments for managing Medicare benefits. What sets Devoted Health apart from competitors is their high level of customer service, featuring Devoted Health Guides who assist members in navigating their healthcare options and addressing common issues with traditional insurance. Additionally, they promote preventive care through the Devoted Dollars program, which rewards members for engaging in health activities. The goal of Devoted Health is to create a more compassionate and accessible healthcare experience for its members.
Key Metrics
Waltham, MassachusettsHeadquarters
2017Year Founded
$2,194.5MTotal Funding
SERIES_ECompany Stage
HealthcareIndustries
1,001-5,000Employees