Director, Value Based Care Pricing Actuary

🔥 0 minutes ago

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

AGIA Affinity

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1963

🤝 B2B

👥 HR Tech

☁️ SaaS

B2B • HR Tech • SaaS

AGIA Affinity is a company that develops, markets, and administers innovative benefit programs aimed at helping organizations engage and retain customers, members, or employees. Established in 1956, AGIA is known for its powerful and customer-centric solutions that deliver tangible business value, driving revenue and enhancing company culture for its partners. The company leverages modern technology platforms to automate processes and provide seamless digital customer experiences. AGIA's programs are designed to improve engagement and add incremental revenue through enhanced target audience interaction. With a focus on bespoke solutions, AGIA assists clients in revitalizing stagnant programs, increasing program growth, and transforming insureds into long-term member value, thus positioning itself as a leader in the benefits market.

📋 Description

• Partner directly with underwriting leadership to evaluate and price Aggregate Excess of Loss opportunities • Assess provider risk arrangements involving Medicare Advantage, Commercial, Medicaid, and other value-based care programs • Analyze healthcare claims experience, provider performance, and financial risk-sharing structures • Develop actuarial models and pricing methodologies to support underwriting decisions • Identify and evaluate emerging opportunities within value-based care markets • Provide insight into payer-provider relationships, reimbursement structures, risk adjustment, and performance incentives • Help establish underwriting guidelines and risk selection frameworks for new market opportunities • Support portfolio management efforts by monitoring trends, profitability, and volatility across the book of business • Serve as a trusted subject matter expert with carrier partners and internal stakeholders • Collaborate with leadership on strategic growth initiatives and market expansion opportunities

🎯 Requirements

• ASA or FSA designation (or equivalent actuarial credentials) • 7+ years of actuarial experience within: A major health payer, A healthcare consulting organization with significant value-based care exposure • Deep expertise in value-based care programs and provider risk arrangements • Strong understanding of healthcare claims analytics, risk adjustment, medical economics, and population health management • Experience supporting Medicare Advantage, Commercial, Medicaid, ACO, MSSP, or similar risk-bearing programs • Advanced analytical and modeling capabilities

🏖️ Benefits

• Flexible remote work environment • Competitive compensation (based on experience) • Comprehensive benefits package: Medical, dental, vision, Life & long-term disability insurance, 401(k) with company match • Generous PTO and sick time • Career advancement within a growing specialty insurance platform