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Empowering Payers, Providers, and Employers/ASOs to Excel at Value-Based Care
Director, Actuarial
Location
United States
Posted
171 days ago
Salary
0
Seniority
Lead
Job Description
Director, Actuarial
Cedar Gate Technologies
• Develop mathematical analyses and financial principles to solve insurance problems that comply with actuarial standards of practice (ASOPs) • Construct value-based contract forecasts of future premiums, claims and risk scores based on past operations and anticipated future changes • Clearly explain value-based contract forecast assumptions, volatility, sensitivity analysis and risks to clients • Streamline repetitive actuarial tasks by leveraging opportunities to integrate methods as software features, enhancing efficiency and productivity. • Assist software developers in deploying software features through the development of written requirements, definition of use cases, user acceptance testing, and serving as a subject matter expert to assure appropriate use of methods as well as proper communication of limitations and disclosures • Collect and compile statistical data for additional analysis • Estimate the probability and likely cost of events such as an accident, death, natural disaster, or sickness • Explain reports, forecasts, and findings to various parties, from company executives to clients, shareholders, and government officials, that comply with actuarial standards of practice (ASOPs) • Build predictive models to accurately analyze potential outcomes • Compare actual ROIs with forecasts • Monitor market trends and identify opportunities for new investments and funds
Job Requirements
- Work experience as an Actuary (ASA or FSA preferred)
- Good knowledge of value-based care approaches in Commercial and Government Program market spaces, including Pay for Performance contracts, ACOs, Capitation, and Bundle models
- In-depth understanding of how to use actuarial formulas and tables
- Hands-on experience with statistical packages like R or Python
- Bachelor's degree in mathematics, actuarial science, or business.
- Good knowledge of insurance legislation and how it could analytical outcomes
- Excellent numerical and analytical skills and a high attention to detail
- Ability to effectively present information professionally in one-on-one and small group situations to customers, clients, and other employees of the organization.
- Ability to communicate effectively in writing as appropriate for the needs of the audience.
- Currently eligible to work in the U.S. without assistance securing an employment visa or work authorization.
Benefits
- Excellent terms of employment and fringe benefits
- Ongoing training that builds and extends professional, technical, and management skills
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