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Director, Actuarial Services

72% Flex

Remote:

Full Remote

Contract:

Full time

Experience:

Senior (5-10 years)

Work from:

United States

Offer summary

Qualifications:

Bachelor’s degree in Actuarial Science, Mathematics, or related field, ASA or FSA certification & minimum 5-7 years actuarial valuation experience.

Key responsabilities:

Develop efficient monthly valuation processes for medical expenses and revenue
Collaborate with cross-functional teams to ensure execution of annual shared risk incentives
Maintain data quality controls, conduct analytics reports for various teams
Provide mentorship to junior analysts, continuously improving best practices

Accompany Health Scaleup https://accompanyhealth.com/

51 - 200 Employees

See more Accompany Health offers

Job description

Your missions

About the role:

As the Director, Actuarial Services, you will be:

-A mission-critical, early part of our growing finance team (and company)

-Building models and processes to enable high-impact care delivery at scale

-Collaborate with our highly talented product, engineering, clinical, and operations teams, who come from a variety of backgrounds.

Responsibilities will include:

Develop an efficient and sustainable monthly valuation process for medical expense, revenue and projected shared risk incentives

Work closely with engineers, analytics and FPnA to ensure preparedness and execution of the annual payer-provider contractual shared risk incentives

Develop, implement and maintain consistent process for data quality controls to ensure data integrity and make recommendations to improve data integrity

Conduct analytics and reporting using data from payer claims, CMS files, electronic medical records, and other sources to deliver actionable insights to various teams

Maintain clean and well-documented workflows

Work with team-members to develop and continuously improve best practices

Provider mentorship for junior actuarial, analytical and financial analysts

What makes you a fit for the team:

You approach your work with humility, recognizing that our system of care will need to learn and adapt to the needs of patients with complex needs

You show deep empathy for the needs of patients, clinicians, and your colleagues to change the fundamental paradigm of care delivery for marginalized patients

You have a distinctive ability to get a highly cross-functional group of stakeholders – technical and non-technical – on the same page

You come to well-informed opinions based on gathering the right information and data – but are open to changing your perspective when the situation evolves or new facts emerge

You focus on getting things done in the most effective, efficient manner for the task at hand – rather than following a specific process for its own sake

You have the resilience to dive headfirst into challenging problems – healthcare is complicated and there’s a lot to be fixed

You are excited to work in a startup environment, with the ambiguity and shifting priorities that might come with it at times

Required:

Bachelor’s degree in Actuarial Science, Mathematics, or a related field

Associate or Fellow of the Society of Actuaries (ASA or FSA)

Excellent analytical, problem-solving, and communication skills

Minimum of 5-7 years of experience in actuarial valuation, specifically within the healthcare industry

Proficiency in actuarial software and advanced skills in Excel and other data analysis tools (SQL, Python, etc)

Ability to review new datasets for accuracy and consult with key stakeholders to contextualize data inconsistencies and the resulting impact to financial reporting

Strong attention to detail and a commitment to producing high-quality work.

Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

Preferred

Experience working with government healthcare programs, such as Medicare, Medicare Advantage, and Medicaid

Prior experience in Value-Based Care

4 to 6 years experience with analytic and modeling tools and software (SAS, SQL, Python, R, etc)