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Director, Actuarial Services (Healthcare)

190 000 - 210 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
director
Английский
b2
Страна
US
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): Leading actuarial models, financial frameworks, reserving, forecasting, and reconciliations for value-based cancer care partnerships with an accent on Medicare Advantage data, shared savings performance, and risk-based contracts. Focus on quantifying financial trade-offs, identifying performance risks, and translating complex actuarial analyses into strategic guidance for finance and executive stakeholders.

Location: Remote

Base salary: $190,000–$210,000, plus equity, benefits, and other compensation opportunities.

Company

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

What you will do

  • Lead development and reporting of total cost of care savings performance estimates for a portfolio of partners, ensuring accurate data and actuarial consistency.
  • Lead annual financial reconciliations for value-based contracts and coordinate internal data resources and external actuarial counterparts.
  • Evaluate performance estimates, quantify financial risks and opportunities, and advise Finance on revenue recognition related to projected shared savings.
  • Identify potential underperformance, interpret results, and partner with health economics and clinical teams to determine root causes.
  • Execute actuarial analyses and develop models evaluating financial and risk trade-offs across value-based contract features.
  • Maintain financial models linking clinical and operational activities to outcomes that drive financial performance.

Requirements

  • Bachelor’s degree in Statistics, Actuarial Sciences, Economics, Mathematics, or another quantitative discipline.
  • Associateship or Fellowship from the Society of Actuaries (ASA or FSA).
  • 8+ years of actuarial experience in healthcare and/or medical economics.
  • 2+ years of experience mentoring junior staff members.
  • Understanding of Medicare Advantage health plan data, including Claims, MMR, and MAO-04.
  • Experience using SQL or another coding language to pull and transform data from large healthcare claims databases.
  • Proficiency in writing clean, efficient code and maintaining strong data management practices.
  • Experience working across organizations and building rapport with data teams and downstream consumers.
  • Ability to maintain data accuracy, detect anomalies, investigate suspicious outputs, prioritize urgent needs, and work effectively in scaling businesses, fast-paced environments, and startups.

Nice to have

  • 3+ years of experience with value-based care arrangements and contracting, including reserving and forecasting for shared savings, shared risk, and/or global capitation programs.
  • Strong communication skills and the ability to articulate the “Here’s What,” “So What,” and “Now What” to executive audiences or external parties.
  • Strong understanding of healthcare financial and clinical metrics and industry standards for presenting data.
  • Experience developing Excel financial models and forecasts evaluating the cost-of-care impact of clinical interventions.
  • Familiarity with Looker, Tableau, or Power BI.
  • Understanding of pharmacy benefits and/or Medicare Part D.

Culture & Benefits

  • Remote work environment.
  • Mission-driven focus on improving the cancer care experience for patients, caregivers, providers, and payers.
  • Values include acting with members in mind, moving with purpose, and seeking diverse perspectives.
  • Equity, benefits, and other opportunities are included in the total compensation package.
  • Commitment to inclusion, diversity of perspectives, and equal employment opportunity.

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