Vice President, Chief Actuary

Summary

Join Included Health's dynamic finance leadership team as the Vice President, Chief Actuary. Reporting to the SVP of Financial Planning & Analysis, you will lead the actuarial team, driving financial performance and supporting business growth. This critical role involves overseeing actuarial models, pricing strategies, risk management, and the company's financial health. The ideal candidate possesses deep expertise in health insurance, value-based care, predictive analytics, and risk management, with strong executive-level influence and external engagement skills. You will manage and mentor a high-performing actuarial team, fostering a collaborative and growth-oriented culture. This position requires a proven track record in actuarial leadership within health plans and risk-bearing entities.

Requirements

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field; a Master's degree is a plus
• 12+ years of total professional experience, with a proven track record in actuarial leadership within health plans and risk bearing entities within healthcare
• Extensive experience with health risk management, product pricing, underwriting, and claims modeling
• Strong proficiency in actuarial modeling software, advanced statistical techniques, and data analytics tools
• Experience with value-based care, risk adjustment, and population health management models is required
• In-depth knowledge of regulatory requirements and reporting standards in healthcare and insurance
• Excellent communication skills with the ability to present complex actuarial concepts to non-technical stakeholders; able to influence and collaborate across all levels of the organization
• Strong leadership skills with a track record of building and developing high-performing teams
• A strategic thinker with the ability to balance short-term goals with long-term business objectives
• Motivated and impactful self-starter who can thrive in a high growth, high performance, results-driven environment
• Able to excel in ambiguity; effectively handles risk and deals comfortably with the uncertainty of change
• Prompt and regular attendance at assigned work location
• Ability to remain seated in a stationary position for prolonged periods
• Requires eye-hand coordination and manual dexterity sufficient to operate keyboard, computer and other office-related equipment
• No heavy lifting is expected, though occasional exertion of about 20 lbs. of force (e.g., lifting a computer / laptop) may be required
• Ability to interact with leadership, employees, and members in an appropriate manner

Responsibilities

• Lead the actuarial team to deliver insights and drive decision-making at the highest levels of the company
• Collaborate with cross-functional leadership teams (e.g., finance, product, data science, and general management) to align actuarial strategies with business objectives
• Develop and utilize predictive analytics and big data technologies to drive actionable insights into customer behavior, health trends, and financial performance
• Evolve and leverage technology to automate and improve actuarial processes, ensuring scalability as the company grows
• Manage, mentor, and grow a high-performing actuarial function and team, fostering a collaborative and growth-oriented culture, aligned with the future needs of the company
• Strategic team leadership - able to see ahead to future possibilities and translate them into breakthrough strategies; has the confidence to establish new processes and ways of thinking
• Set clear objectives and performance expectations, ensuring alignment with broader company goals while fostering continuous learning and development
• Instills trust and gains the confidence of others through honesty, integrity, and authenticity
• Build a culture of belonging that represents diverse perspectives, as well as attracting and retaining top actuarial talent
• Contribute to the development of pricing models and ensure the alignment of pricing with business goals, market trends, and regulatory requirements
• Assess the performance of existing products, and recommend adjustments to pricing, coverage, or benefit designs as necessary
• Develop and maintain sophisticated models to assess and manage the company's exposure to risk, including underwriting, claims, and member health costs
• Ensure the accuracy and reliability of risk-adjusted projections and reserve levels
• Collaborate with the business on establishing and pricing the best performance guarantees
• Ensure compliance with all relevant actuarial standards, regulations, and industry guidelines
• Lead the preparation of actuarial reports, filings, and submissions for internal stakeholders and external regulatory bodies
• Act as a key thought leader and trusted advisor for prospects, customers, and external stakeholders
• Represent the actuarial function in discussions with potential clients, partners, and industry regulators
• Provide strategic insights to support sales, customer retention, and product development, fostering long-term relationships with key stakeholders
• Serve as the primary liaison between the actuarial department and other key stakeholders, including executive leadership, customers, and external partners
• Present findings and recommendations to the executive team, clients, and regulatory authorities

Benefits

• Remote-first culture
• 401(k) savings plan through Fidelity
• Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)
• Paid Time Off ("PTO") and Discretionary Time Off ("DTO")
• 12 weeks of 100% Paid Parental leave
• Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies
• Work-From-Home reimbursement to support team collaboration home office work