Actuary
Seeking a highly skilled and experienced Lead Actuary with expertise in Value-Based Care (VBC) pricing, claims analysis, and forecasting. The ideal candidate will hold their Associate of the Society of Actuaries (ASA) designation and possess a deep understanding of actuarial principles in the healthcare industry, with a specific focus on VBC models. The Lead Actuary will oversee pricing strategies, develop claims models, and contribute to the forecasting of trends, helping to guide the organization's financial and strategic decision-making.
Key Responsibilities:
VBC Pricing & Analysis:
Lead the pricing and financial modeling for Value-Based Care contracts, ensuring accurate assessments of cost, risk, and profitability. Collaborate with clinical, operational, and executive teams to align pricing strategies with business goals.Claims Analysis:
Oversee and manage the development of claims models, analyzing trends and patterns to support decision-making for pricing, reserves, and forecasting. Utilize claims data to evaluate and predict future cost scenarios.Forecasting & Trend Analysis:
Lead the development and implementation of accurate claims forecasting methodologies, incorporating historical data, emerging trends, and market dynamics. Provide strategic recommendations based on long-term financial projections.Team Leadership & Collaboration:
Mentor and provide guidance to junior actuaries, fostering a collaborative environment that encourages knowledge-sharing and continuous development. Ensure high-quality actuarial work is delivered on time and within scope.Stakeholder Communication:
Serve as a key advisor to senior management, translating complex actuarial findings into clear, actionable insights. Present actuarial assumptions, results, and recommendations to executives and business partners.Compliance & Best Practices:
Ensure compliance with all regulatory and professional standards, and continually improve actuarial methodologies and processes to reflect industry best practices.Risk Management:
Identify and assess emerging risks related to VBC contracts, claims, and healthcare trends. Develop strategies to mitigate financial risk and support overall business sustainability.
FAQs
Congratulations, we understand that taking the time to apply is a big step. When you apply, your details go directly to the consultant who is sourcing talent. Due to demand, we may not get back to all applicants that have applied. However, we always keep your resume and details on file so when we see similar roles or see skillsets that drive growth in organizations, we will always reach out to discuss opportunities.
Yes. Even if this role isn’t a perfect match, applying allows us to understand your expertise and ambitions, ensuring you're on our radar for the right opportunity when it arises.
We also work in several ways, firstly we advertise our roles available on our site, however, often due to confidentiality we may not post all. We also work with clients who are more focused on skills and understanding what is required to future-proof their business.
That's why we recommend registering your resume so you can be considered for roles that have yet to be created.
Yes, we help with resume and interview preparation. From customized support on how to optimize your resume to interview preparation and compensation negotiations, we advocate for you throughout your next career move.