Director, Actuary

Summary

Join firsthand as the Director, Actuary and play a key role in understanding member populations and managing financial risks associated with value-based care. As the company's first actuary, you will build actuarial frameworks, systems, and data models. You will analyze healthcare claims data, develop financial projections, work with various departments, and shape the future of the finance, accounting, and actuarial teams. This remote position requires strong data analysis skills, collaboration abilities, and a willingness to adapt in a fast-paced environment. You will report directly to the Senior Vice President of Finance. This is a unique opportunity to spearhead the development of an actuarial department for an interdisciplinary service model serving individuals with serious mental illness.

Requirements

• Bachelor’s degree (or higher) in Actuarial Science, Math, Economics or a related field
• A strong familiarity with SQL / Snowflake, Microsoft Excel, and other statistical and data analysis software
• 7+ years of actuarial experience
• ASA and/or FSA designation

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

• 3+ years at a managed care organization or risk-based healthcare service provider
• Based in Eastern or Central timezone

Benefits

• For full-time employees, our compensation package includes base, equity (or special incentive program for clinical roles) and performance bonus potential
• Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, flexible vacation, and a supportive and inclusive culture