Vice President, Chief Actuary

Employment Type: Full-Time

Position Overview

Included Health is seeking a strategic and results-oriented Vice President, Chief Actuary to join our dynamic finance leadership team. Reporting directly to the Senior Vice President, Financial Planning & Analysis, this role is critical to driving our financial performance and supporting current and future business growth as we expand into capitated risk. In this leadership role, you will be responsible for overseeing the development of actuarial models, pricing strategies, risk management, and the overall financial health of the company's products and services. The ideal candidate will have deep expertise in health insurance, value-based care, predictive analytics, data science, and risk management, as well as a strong ability to execute and influence decisions at the executive level. They will also be adept at interacting with external parties, able to represent the company in sales and public markets.

Responsibilities

Strategic Actuarial Leadership

• Lead the actuarial team to deliver insights and drive decision-making at the highest levels of the company.
• Collaborate with cross-functional leadership teams (e.g., finance, product, data science, and general management) to align actuarial strategies with business objectives.
• Develop and utilize predictive analytics and big data technologies to drive actionable insights into customer behavior, health trends, and financial performance.
• Evolve and leverage technology to automate and improve actuarial processes, ensuring scalability as the company grows.

Team Leadership

• Manage, mentor, and grow a high-performing actuarial function and team, fostering a collaborative and growth-oriented culture, aligned with the future needs of the company.
• Strategic team leadership - able to see ahead to future possibilities and translate them into breakthrough strategies; has the confidence to establish new processes and ways of thinking.
• Set clear objectives and performance expectations, ensuring alignment with broader company goals while fostering continuous learning and development.
• Instills trust and gains the confidence of others through honesty, integrity, and authenticity.
• Build a culture of belonging that represents diverse perspectives, as well as attracting and retaining top actuarial talent.

Pricing Strategy

• Contribute to the development of pricing models and ensure the alignment of pricing with business goals, market trends, and regulatory requirements.
• Assess the performance of existing products, and recommend adjustments to pricing, coverage, or benefit designs as necessary.

Risk Management

• Develop and maintain sophisticated models to assess and manage the company's exposure to risk, including underwriting, claims, and member health costs.
• Ensure the accuracy and reliability of risk-adjusted projections and reserve levels.
• Collaborate with the business on establishing and pricing the best performance guarantees.

Regulatory Compliance

• Ensure compliance with all relevant actuarial standards, regulations, and industry guidelines.
• Lead the preparation of actuarial reports, filings, and submissions for internal stakeholders and external regulatory bodies.

External Engagement & Relationship Management

• Act as a key thought leader and trusted advisor for prospects, customers, and external stakeholders.
• Represent the actuarial function in discussions with potential clients, partners, and industry regulators.
• Provide strategic insights to support sales, customer retention, and product development, fostering long-term relationships with key stakeholders.

Collaboration & Influence

• Serve as the primary liaison between the actuarial department and other key stakeholders, including executive leadership, customers, and external partners.
• Present findings and recommendations to the executive team, clients, and regulatory authorities.

Qualifications

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field; a Master's degree is a