firsthand is hiring a
Director, Actuary

Summary

The Director, Actuary role at firsthand involves analyzing healthcare data, developing financial projections, collaborating with various teams, and shaping finance strategies for a company that supports individuals living with serious mental illness. This is a remote position.

Requirements

• Fun time with large amounts of data (often unstructured), including healthcare claims, financial statements, and publicly available sources of demographic and healthcare data
• Self-starting and intellectually curious mindset in order to break down challenging, complex problems into questions that can be explored and answered
• Ability to work collaboratively with all levels of employees, management, and outside parties (including consultants, advisors, and customers)
• Ability to summarize and visualize claims, statistical, and financial data into meaningful insights for the relevant audience (e.g., management, market leaders)
• Willingness to try on new hats and seek new knowledge in areas adjacent to your actuarial expertise - we are a small, fast-paced team!

Responsibilities

• Analyze large quantities of healthcare claims and data to assess patterns and risks across multiple indicators, including medical costs, utilization patterns by modality, and intra-year trends across comparable populations
• Develop financial projections and forecasts (including creating/utilizing medical claim expense reserve and incurred but not reported analyses) in addition to retrospective analyses, across multiple member groups supported
• Work closely with Business Development and Customer Success, including informing contract structures and terms, monitoring and projecting performance for existing and future risk-sharing arrangements, and estimating required capitation funding and prospective operations / risk targets
• Develop clear viewpoints on recommended or required courses of action informed by your analyses
• Work closely with leaders across the organization, including Finance/Accounting, Clinical, Operations, Strategy, Legal, and Data
• Serve as the bridge between the Company’s operational performance against contractual targets and internal goals and financial reconciliation
• Shape the future of firsthand’s Finance, Accounting, and Actuary teams by developing and implementing best-in-class systems and processes
• Stay up-to-date with changes in laws, regulations, and industry standards that impact our organization in addition to assessing and providing recommendations in how to mitigate risks and leverage opportunities

Preferred Qualifications

• Have 3+ years experience at a managed care organization or risk-based healthcare service provider
• Be based in Eastern or Central timezones

Benefits

• Compensation package includes base, equity and a bonus potential
• Physical and mental health, dental, vision benefits
• 401(k) with a match
• 16 weeks parental leave for either parent
• Flexible vacation
• Supportive and inclusive culture