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5 часов назад

Director, Actuarial Services (Healthcare)

190 000 - 210 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
director
Английский
b2
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Director, Actuarial Services (Healthcare): Developing and overseeing actuarial models, financial frameworks, reserving, forecasting, and reconciliations for value-based cancer care partnerships with an accent on shared savings, shared risk, and healthcare claims data. Focus on quantifying contract risks and opportunities, modeling financial trade-offs, and translating performance results into strategic guidance for executive and external audiences.

Location: Remote

Salary: $190,000–$210,000 per year, plus equity and benefits

Company

hirify.global is a healthcare technology company focused on cancer care navigation and value-based cancer care delivery.

What you will do

  • Lead the development and reporting of total cost of care savings performance estimates for value-based care partners.
  • Lead annual financial reconciliations for value-based contracts and coordinate with internal data teams and partner actuaries.
  • Evaluate performance estimates, quantify financial risks and opportunities, and advise Finance on revenue recognition tied to projected shared savings.
  • Identify potential underperformance, interpret results, and collaborate with health economics and clinical teams to determine root causes.
  • Develop actuarial analyses and financial models to evaluate contract features, risk trade-offs, and the financial impact of clinical and operational activities.

Requirements

  • Bachelor’s degree in Statistics, Actuarial Sciences, Economics, Mathematics, or another quantitative discipline.
  • ASA or FSA designation from the Society of Actuaries.
  • 8+ years of actuarial experience in healthcare and/or medical economics.
  • 2+ years of experience mentoring junior staff members.
  • Experience with Medicare Advantage data, including claims, MMR, and MAO-04 data.
  • Experience using SQL or another coding language to extract and transform data from large healthcare claims databases, with strong data management practices.

Nice to have

  • 3+ years of experience with value-based care arrangements and contracting, including shared savings, shared risk, or global capitation.
  • Experience communicating financial and clinical insights to executive audiences or external partners.
  • Experience building Excel-based financial models and forecasts for clinical interventions.
  • Familiarity with Looker, Tableau, or Power BI.
  • Understanding of pharmacy benefits and/or Medicare Part D.

Culture & Benefits

  • Remote work environment within a scaling, fast-paced organization.
  • Equity and benefits are included as part of the total compensation package.
  • Values include acting with members in mind, moving with purpose, and seeking diverse perspectives.
  • Emphasis on data accuracy, thoughtful documentation, initiative, and comfort with ambiguity.
  • Commitment to inclusion and equal employment opportunity.

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