Senior Director, Actuarial Services - Remote, Certified Actuary (FSA/ASA)
Core
Lead actuarial work for health plans including rate adequacy, claims reserving, and cost of care forecasting.
Role type
Senior Director, Actuarial Services
Builds
Cost modeling tools and health plan pricing/reserving frameworks
Domain
Health insurance / Managed care
Deliverable
production ML models | dashboards & analysis
Required skills
Claims reserving techniques, premium rate development, health plan risk adjustment methodologies, complex cost modeling tools, strategic guidance, cross-functional collaboration
Preferred skills
FSA designation, advanced cost modeling expertise
Technologies
Cost modeling tools
Responsibilities
Own market accountability for health plan pricing and claims reserving; lead actuarial activities for monthly financial close; establish reserves for care expense liabilities; design and implement cost modeling tools; interface with state/federal agencies for rate considerations; interpret emerging care expense results for leadership.
Seniority
Senior Director, management & strategy