Actuarial Associate Director - Remote

Overview

This role oversees, executes, and communicates key actuarial functions for Medicare Accountable Care Organizations (ACO) lines of business, including ACO REACH, LEAD, and MSSP/Medicare Shared Saving Programs. The position manages resources and deliverables and provides business recommendations to risk-taking provider organizations, contributing to overall financial success.

Work is offered with flexibility to work remotely from anywhere within the U.S. For hires in the Minneapolis or Washington, D.C. area, an in-office schedule of at least four days per week is required.

Responsibilities

• Oversee, build, and maintain actuarial models used for forecasting and tracking performance risks associated with Medicare ACO lines of business (ACO REACH, LEAD, MSSP/Medicare Shared Saving Programs)
• Analyze revenue and claim data from multiple sources and translate complex concepts for a variety of audiences, including senior leaders
• Serve as a key resource for risk-taking provider organizations and physician groups
• Communicate results and provide recommendations to stakeholders on business performance and strategic actions
• Contribute thought leadership and support customers in evaluating and implementing new and existing Value-Based Care (VBC) programs
• Mentor, direct, and review the work of a team of 1–2 analysts

Requirements

• Bachelor’s degree in Actuarial Science, Mathematics, or related field
• 5+ years of actuarial experience with foundational literacy in healthcare analytics and modeling
• 3+ years of experience analyzing and manipulating large healthcare claim datasets
• Proficiency in Excel and SQL
• Proven excellent problem-solving and communication skills, along with critical thinking to anticipate stakeholder questions and ensure all aspects of a deliverable are addressed before completion

Preferred Qualifications

• ASA/FSA, or progress toward ASA or FSA (Associate/Fellowship of the Society of Actuaries) designation
• Experience with any of the following: Government Programs, Medicare Advantage (MA) products, CMS ACO/Alternative Payment Models, and/or VBC modeling
• Experience presenting business insights and summaries to inform decisions to stakeholders
• Proven ability to self-motivate, quickly learn new business concepts, and take initiative

Compensation & Benefits

• Salary range: $112,700 - $193,200 annually (based on full-time employment)
• Pay is based on multiple factors, including local labor markets, education, work experience, certifications, and more.
• Benefits may include a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements).

Location

• Remote work from anywhere within the U.S.
• For hires in the Minneapolis or Washington, D.C. area: required to work in the office a minimum of four days per week.

Additional Information

• Drug-free workplace; candidates are required to pass a drug test before beginning employment.
• Equal Employment Opportunity employer under applicable law, with consideration without regard to protected characteristics under local, state, or federal laws.