Lead Director, Actuarial-Cred

Overview

The organization is seeking a Director-level actuarial leader to support financial forecast modeling for the Medicaid line of business. The primary focus (70% of the role) is leading actuarial forecasting support; secondary responsibilities (30%) include trend analysis and development.

Responsibilities

Primary Focus (70% time)

• Lead budget and forecast storytelling for the Medicaid business.
• Oversee forecast model development and improvement; support plan actuaries in understanding forecast projections.
• Drive forecast-related analysis, including development of key assumptions, evaluation of financial experience, and identification of trend drivers.
• Review budget and forecast from a business perspective to ensure reasonable actuarial projections.
• Identify and support process improvements through automation and process simplification to ensure timely and accurate deliverables.
• Manage high-visibility and complex projects, including resource allocation and alignment.

Secondary Focus (30% time)

• Support trend storytelling and prospective trend development for the Medicaid business.
• Track and normalize trends across a diverse Medicaid footprint.
• Analyze drivers of trend to support managed care savings development and rate advocacy.
• Provide medical expense review support.
• Analyze program changes based on State-directed and internal benefit design changes.
• Use strong critical thinking to solve complex business problems and lead team members in applying similar approaches.
• Coach, mentor, and provide feedback to employees to support development of technical skills and subject matter expertise.

Requirements

• Bachelor’s Degree along with 10+ years working experience.
• Must be an ASA or FSA.
• Strong technical skills required (SQL, Python, and Power BI).
• Proven track record of driving results with multi-functional teams.

Preferred Qualifications

• Prior Commercial, Medicare or Medicaid experience.

Compensation & Benefits

• Pay Range: $144,200.00 - $288,400.00
• Eligibility includes a bonus, commission, or short-term incentive program in addition to the base pay range.
• Position also includes an award target in the company’s equity award program.
• This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. Benefits may include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
• Additional details about available benefits are provided during the application process.

Location

• Remote role.
• This remote role does not support sponsorship.

Additional Information

• Anticipated application window close date: 11/16/2026.
• Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.