Director, Actuarial Services

Job not on LinkedIn

🕒 May 19

🇺🇸 United States – Remote

💵 $140k / year

⏰ Full Time

🔴 Lead

📊 Actuary

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Evolent

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare Insurance • Healthcare • SaaS

Evolent is a healthcare company focused on improving care outcomes through its comprehensive management solutions across multiple medical specialties. They aim to enhance the patient care journey by offering coordinated services in areas like oncology, cardiology, musculoskeletal disorders, and primary care, while ensuring high-quality treatment pathways and cost management. Evolent believes every person deserves quality care, striving to align treatment guidelines and innovative approaches to meet patient needs effectively.

📋 Description

• Analyze claims and authorization data to identify trends, calculate cost of healthcare, and identify medical cost savings opportunities for customers • Perform rigorous actuarial modeling and forecasting to support gainshare and ROI arrangements • Incorporate business expectations for the financial impacts of clinical integration, population management processes, provider contracts, and benefit structures into rates and financial projections • Manage organizational risk through forecasting of financial/statistical data in a manner which is actuarially sound • Ability to lead and work independently with cross-functional teams • Consistently deliver high-quality, error-free deliverables • Manage several projects at varying phases, and ensure projects meet strategic objectives and are managed to timelines • Interact with and coach teams of actuaries and non-actuaries, including support for team engagement and strategy • Present reports and analyses to clients and internal executives • Manage a junior actuarial team member

🎯 Requirements

• Bachelor’s degree, preferably with a quantitative major (e.g. actuarial science, statistics, mathematics, economics, data science) – Required. • Associate or Fellow of the Society of Actuaries - Required. • 5+ years of experience in a health actuarial setting - Required. • Strong proficiency with Microsoft Excel– Required. • Strong leadership & project management skills - Required. • Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs – Required. • Excellent communication and presentation skills. Must be comfortable presenting complex analyses to internal and external client executives – Required. • Actuarial experience in value-based care or Medicaid - Preferred. • Experience in claims-based healthcare analytics to drive decision making - Preferred.

🏖️ Benefits

• Health insurance benefits