Director, Actuarial Services

Summary

Join Aledade as the Director, Actuarial Services and apply rigorous analytical skills to value-based care contracts, focusing on risk evaluation, management, and forecasting within Medicare Advantage, Commercial, and Medicaid contracts. Develop actuarial models to assess financial impacts under various scenarios, informing risk mitigation efforts. Support the Chief Actuary in developing actuarial and economic frameworks for evaluating value-based care contracts and translating strategic targets into quantitative risk perspectives. Collaborate with Finance and Performance teams. This role offers flexibility in geographic location, with remote work options available in the United States. The ideal candidate will have extensive experience in healthcare actuarial analysis and a strong understanding of value-based care.

Requirements

• 12+ years in healthcare with health plans, provider groups or consulting firms within value-based care and 8+ years doing healthcare actuarial analyses
• Bachelor’s degree in Finance, Economics, Actuarial Sciences, Statistics, Math or another quantitative field
• Fellow of the Society of Actuaries (FSA) or Associate of the Society of Actuaries (ASA) designation

Responsibilities

• Develop and maintain an actuarial/economic framework for evaluating risk in value-based care contracts across MA, Commercial and Medicaid contracts
• Identify risks that exceed specific thresholds and develop and present mitigation recommendations
• Interface cross-functionally and perform analyses to fulfill the requirements of other Aledade teams

Preferred Qualifications

• Master’s degree or other advanced degrees in finance, economics, actuarial sciences, statistics, math or another quantitative field
• Data manipulation skills, including strong experience with Excel and working knowledge of SQL, as well as at least basic skills with Python, R, and/or other similar analytics-oriented programming
• Experience with Google Workspace (Google Docs, Sheets, and Slides) as well as Microsoft Office (Word, Powerpoint, and Excel)
• Knowledge of standard methods for measuring health care utilization, spending, quality, and outcomes; risk adjustment, provider profiling, and related analytical tasks
• Strong ability to communicate actuarial concepts and results to a range of audiences including non-actuarial leaders and colleagues
• Demonstrated ability to independently lead and execute complex, high-visibility projects with multiple stakeholders
• Proven track record of creating, maintaining, and enhancing relationships and communicating effectively with senior management
• Intense attention to detail and extraordinary commitment to assurance of data quality and integrity for important work products
• Ability to think beyond their immediate team and contribute to making Aledade holistically better (active engagement in DE&I efforts, culture initiatives, facilitating training, leading roundtables, etc.)
• Experience with MA mechanisms and industry structure, including familiarity with STARS, the MA bid process, and the basic economics of the MA market
• Experience functioning in a highly matrixed organization and delivering complex, cross-functional projects
• Experience developing and applying consistent analytical frameworks to contracts in the value-based care space
• Experience in a fast-changing operational environment of a healthcare startup or similar
• Experience successfully managing a team
• Passionate about driving the shift from fee-for-service to value-based care and securing the future of independent primary care
• Experience working with projections of premiums, costs, MLR, and other aspects of MA forecasting

Benefits

• Flexible work schedules and the ability to work remotely are available for many roles
• Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
• Robust time-off plan (21 days of PTO in your first year)
• Two paid volunteer days and 11 paid holidays
• 12 weeks paid parental leave for all new parents
• Six weeks paid sabbatical after six years of service
• Educational Assistant Program and Clinical Employee Reimbursement Program
• 401(k) with up to 4% match
• Stock options