Senior Director, Actuarial Services

Overview

The organization is seeking a strategic and commercially minded Senior Director, Actuarial Services to lead actuarial strategy, health economic analyses, and financial value demonstration across the business.

This highly visible role translates complex healthcare data into clear, compelling insights that demonstrate the clinical and financial value of the heart health solution. The role partners with customers, consultants, health plans, and internal stakeholders to strengthen the value proposition, support commercial growth, and inform strategic decision-making.

Responsibilities

• Partner with Sales, Consultant Relations, and Customer Success to strengthen proposals and communicate economic value.
• Participate in client and consultant calls, performance reviews, and renewal value conversations; provide strategy, decisions, and key input as a credible actuarial expert.
• Advocate for sound actuarial practices, appropriate methodologies, and effective processes to support high-quality analyses and informed decision-making.
• Serve as a primary actuarial subject matter expert for healthcare economics, financial outcomes, pricing, and market opportunities.
• Lead health economic studies, cost savings analyses, and outcomes research that quantify impact and support commercial growth.
• Use medical claims, pharmacy claims, and other large datasets to evaluate healthcare utilization, medication adherence, costs, and financial outcomes.
• Develop and maintain competitive performance guarantee offerings, assess associated financial risks, oversee reserve requirements, and educate internal stakeholders.
• Develop risk-based pricing approaches and support value-based contracting and specialty incentive opportunities.
• Present actuarial and health economic findings to customers, consultants, payers, industry audiences, external stakeholders, and at conferences.
• Act as the primary actuarial contact for independent cost savings studies, research collaborations, and analyses conducted with consultants and external partners.
• Evaluate the anticipated clinical and financial impact of new products and services; identify market opportunities and provide actuarial input into strategic planning.
• Create executive-ready presentations, research materials, and publications that make complex statistical findings accessible and actionable.
• Track healthcare market dynamics, competitor trends, Medicare Advantage quality measures, and emerging reimbursement models to inform business decisions.

Requirements

• 10+ years of actuarial experience within healthcare, health insurance, or a related healthcare organization, including experience conducting health economic and financial analyses.
• Client-facing or sales-support experience (e.g., consulting or a startup) with a track record of presenting analyses to customers, consultants, or executives.
• Credible storytelling skills and strong listening abilities to build trust quickly.
• Deep knowledge of actuarial principles, healthcare economics, risk assessment, and statistical methodologies, with the ability to apply findings to commercial and strategic decisions.
• Proficiency in R, including experience analyzing large medical and pharmacy claims datasets (paid and allowed amounts, healthcare utilization, medication adherence measures).
• Demonstrated ability to leverage artificial intelligence tools and agents to streamline research, analysis, reporting, and complex workflows, while critically evaluating outputs for accuracy and reliability.
• Bachelor’s degree in Mathematics, Statistics, Economics, Actuarial Science, or a related field.
• Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) credential.
• Experience developing or evaluating healthcare cost savings studies, financial outcomes research, performance guarantees, and risk-based pricing models.
• Understanding of risk adjustment, Medicare Advantage Star Ratings, healthcare quality metrics, and related audit processes.
• Strong written and verbal communication skills, including the ability to translate complex actuarial and statistical concepts into compelling presentations for executive and external audiences.
• Proven ability to influence cross-functional stakeholders, manage competing priorities, and independently drive high-impact initiatives in a fast-paced environment.
• Willingness to travel up to 20% of the time.

Compensation & Benefits

• The United States base salary range for this full-time position is $235,000 to $270,000.
• Salary ranges are determined by role and level. Individual compensation is based on job-related skills, experience, and relevant education or training.
• Compensation details listed in United States job postings reflect annual salary and bonus only and do not include equity or benefits.

Location

• United States (base salary range applies to U.S. postings).