Director of Actuarial

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October 16

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Innovaccer

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Healthcare Insurance • Artificial Intelligence • SaaS

Innovaccer is a healthcare technology company dedicated to transforming how healthcare information is utilized and accessed. They provide a comprehensive Health Cloud that aims to accelerate digital transformation for providers, payers, and life sciences companies by offering unified healthcare data and analytics. Innovaccer leverages artificial intelligence to automate tasks, process medical data, and generate insights to improve clinical and financial outcomes. Their solutions focus on integrating and optimizing healthcare systems, promoting value-based care, improving patient engagement, and reducing the administrative burden on healthcare providers. Innovaccer's platform supports various healthcare stakeholders through advanced data activation, analytics, and streamlined workflows, striving to improve healthcare delivery and patient care globally.

1001 - 5000 employees

Founded 2014

⚕️ Healthcare Insurance

🤖 Artificial Intelligence

☁️ SaaS

💰 $150M Series E on 2021-12

📋 Description

• Develop and maintain robust actuarial and financial models for premium rate setting, reserving, and forecasting. • Analyse medical cost trends, utilisation patterns, and other key cost drivers. • Conduct experience studies, variance analyses, and scenario modelling to support business planning. • Design and price health insurance and value-based care products (e.g., MSSP, ACO REACH, Medicare Advantage). • Support new product filings, ensuring compliance with CMS and CMMI requirements. • Apply Medicare pricing methodologies and assist with regulatory submissions. • Support CMS risk adjustment modelling (HCC, RxHCC, CDPS, etc.) to optimise revenue accuracy. • Forecast financial performance, revenue, and margins based on risk scores, population mix, and membership changes. • Collaborate with analytics and finance teams to develop predictive insights for strategic planning. • Lead, mentor, and review the work of junior actuarial analysts and data modellers. • Partner with cross-functional stakeholders to integrate actuarial insights into financial and operational decision-making. • Present findings and recommendations to executive leadership, influencing strategic initiatives.

🎯 Requirements

• Bachelor’s or Master’s degree in Actuarial Science, Statistics, Mathematics, Finance, or a related field. • FSA/ASA or equivalent actuarial credential preferred. • 10+ years of progressive experience in actuarial, pricing, or financial analysis roles within health insurance or healthcare analytics. • Demonstrated experience with CMS, CMMI, or Medicare programs strongly preferred. • Technical Proficiency: SQL, SAS, R, Python, Excel (including VBA), Tableau or Power BI. • Domain Expertise: Actuarial modeling, health insurance pricing, CMS risk adjustment, and value-based payment programs. • Leadership Skills: Strong people management, stakeholder engagement, and executive communication capabilities. • Analytical Strength: Exceptional ability to interpret data, model outcomes, and translate analytics into business strategies.

🏖️ Benefits

• Generous Paid Time Off: Recharge and relax with 22 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance. • Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments. • Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed. • Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance.