Director, Actuarial Services

About the role:

As the Director, Actuarial Services, you will be:

-A mission-critical, early part of our growing finance team (and company)

-Building models and processes to enable high-impact care delivery at scale

-Collaborate with our highly talented product, engineering, clinical, and operations teams, who come from a variety of backgrounds.

Responsibilities will include:

• Develop an efficient and sustainable monthly valuation process for medical expense, revenue and projected shared risk incentives
• Work closely with engineers, analytics and FPnA to ensure preparedness and execution of the annual payer-provider contractual shared risk incentives
• Develop, implement and maintain consistent process for data quality controls to ensure data integrity and make recommendations to improve data integrity
• Conduct analytics and reporting using data from payer claims, CMS files, electronic medical records, and other sources to deliver actionable insights to various teams
• Maintain clean and well-documented workflows
• Work with team-members to develop and continuously improve best practices
• Provider mentorship for junior actuarial, analytical and financial analysts

What makes you a fit for the team:

• You approach your work with humility, recognizing that our system of care will need to learn and adapt to the needs of patients with complex needs
• You show deep empathy for the needs of patients, clinicians, and your colleagues to change the fundamental paradigm of care delivery for marginalized patients
• You have a distinctive ability to get a highly cross-functional group of stakeholders – technical and non-technical – on the same page
• You come to well-informed opinions based on gathering the right information and data – but are open to changing your perspective when the situation evolves or new facts emerge
• You focus on getting things done in the most effective, efficient manner for the task at hand – rather than following a specific process for its own sake
• You have the resilience to dive headfirst into challenging problems – healthcare is complicated and there’s a lot to be fixed
• You are excited to work in a startup environment, with the ambiguity and shifting priorities that might come with it at times

• Required:

• Bachelor’s degree in Actuarial Science, Mathematics, or a related field

• Associate or Fellow of the Society of Actuaries (ASA or FSA)

• Excellent analytical, problem-solving, and communication skills

• Minimum of 5-7 years of experience in actuarial valuation, specifically within the healthcare industry

• Proficiency in actuarial software and advanced skills in Excel and other data analysis tools (SQL, Python, etc)

• Ability to review new datasets for accuracy and consult with key stakeholders to contextualize data inconsistencies and the resulting impact to financial reporting

• Strong attention to detail and a commitment to producing high-quality work.

• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

• Preferred

• Experience working with government healthcare programs, such as Medicare, Medicare Advantage, and Medicaid

• Prior experience in Value-Based Care

• 4 to 6 years experience with analytic and modeling tools and software (SAS, SQL, Python, R, etc)