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AGIA Affinity

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Director, Value Based Care Pricing Actuary

ActuaryActuaryFull TimeRemoteLeadTeam 201-500Since 1963H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

7 days ago

Salary

$175K - $225K / year

Seniority

Lead

Postgraduate Degree7 yrs expEnglish

Job Description

Director, Value Based Care Pricing Actuary

AGIA Affinity

• 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

Job 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

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