rartificial intelligencehealth insuranceactuarial sciencemedicare advantagemedical claimsrisk based pricingpharmacy claimshealthcare economics
Вакансия из Hirify Global, списка международных tech-компаний Для мэтча и отклика нужен Plus
Пожаловаться
Зарплата и рынок
Многоразвернуть
$235к-270к/год
$140к$180кмедиана$210к
По похожим ролям (50) ~ $180к/год
На СНГ рынке: $4.2к/мес ($3.2к - $4.7к)
89
Крутая вакансия
развернуть
Чётко очерченная руководящая роль в продуктовой компании на стыке ИИ и здравоохранения с заметной стратегической ответственностью и влиянием на разные команды.
Выше рынка
ИИ в медицине
Широкая зона влияния
Современный стек
?Командировки до 20%
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Подключить Plus
Описание вакансии
Текст:
Hirify AI/Оригинал
TL;DR
Senior Director, Actuarial Services (Healthcare Economics/AI): Leading actuarial strategy, health economic analyses, risk-based pricing, and financial value demonstration for an AI-powered heart health platform with an accent on healthcare economics, claims data, performance guarantees, and commercial value. Focus on quantifying clinical and financial outcomes, developing pricing and contracting models, and presenting complex actuarial findings to customers, consultants, and executives.
Location: Remote US; willingness to travel up to 20% of the time.
Salary: $235,000–$270,000 annual base salary and bonus, excluding equity and benefits.
Company
hirify.global is an AI-powered heart health company building a platform that predicts and prevents cardiac events, serving large U.S. health plans and employers.
What you will do
Lead actuarial strategy, health economic research, cost savings analyses, outcomes research, and financial value demonstration.
Partner with Sales, Consultant Relations, Customer Success, Medical Affairs, Finance, and other stakeholders to support proposals, renewals, commercial growth, and strategic decisions.
Analyze medical and pharmacy claims data to evaluate utilization, medication adherence, costs, and financial outcomes.
Develop risk-based pricing, value-based contracting, specialty incentive opportunities, performance guarantees, and related reserve requirements.
Present actuarial and health economic findings to customers, consultants, payers, executives, industry audiences, and conferences.
Track healthcare market dynamics, competitor trends, Medicare Advantage quality measures, reimbursement models, and new product impact.
Requirements
10+ years of actuarial experience in healthcare, health insurance, or a related healthcare organization, including health economic and financial analyses.
Client-facing or sales-support experience in consulting, a startup, or a similar environment, with experience presenting analyses to customers, consultants, or executives.
Deep knowledge of actuarial principles, healthcare economics, risk assessment, and statistical methodologies.
Proficiency in R and experience analyzing large medical and pharmacy claims datasets, including paid and allowed amounts, healthcare utilization, and medication adherence measures.
Ability to use artificial intelligence tools and agents for research, analysis, reporting, and complex workflows while evaluating outputs for accuracy and reliability.
Bachelor’s degree in Mathematics, Statistics, Economics, Actuarial Science, or a related field.
ASA or FSA credential from the Society of Actuaries.
Experience with healthcare cost savings studies, financial outcomes research, performance guarantees, and risk-based pricing models.
Understanding of risk adjustment, Medicare Advantage Star Ratings, healthcare quality metrics, and related audit processes; strong communication, stakeholder influence, prioritization, and independent execution skills.
Culture & Benefits
Positive, diverse, supportive, collaborative, creative, and courageous culture.
Full-time remote role for the United States.
Annual salary and bonus range of $235,000–$270,000; equity and benefits are excluded from the stated range.
Travel required up to 20% of the time.
Будьте осторожны
Если работодатель просит войти в их систему, используя iCloud/Google, прислать код/пароль, запустить код/ПО, не делайте этого. Это мошенники. Обязательно жмите «Пожаловаться» или пишите в поддержку. Подробнее в гайде →