Manager, Actuarial Services

Your Role

The Manager, Actuarial Services will develop monthly financial forecasts for Provider Organization (PO) partners in ACO REACH, MSSP, and Medicare Advantage. This role will collaborate cross-functionally to optimize processes and value clinical models and drive insights through data analysis and modeling, while effectively communicating outcomes to diverse teams. This role may lead a small to mid-sized team of actuarial analysts. If you're a proactive leader with a passion for data-driven decision-making, join us in shaping the future of healthcare.

Primary Functions of the Manager, Actuarial Services Include:

• Lead the development of monthly financial forecasts for all Provider Organization (PO) partners in at least one major Line-of-Business (ACO REACH, MSSP, Medicare Advantage).
• Assist the actuarial, clinical, finance and strategy teams with data analysis and modeling.
• Plan and execute projects, ensuring timely and accurate completion of analyses and reports.
• Manage resource allocation and prioritize projects to meet business needs.
• Ensure compliance with relevant actuarial standards, regulatory requirements, and internal guidelines.
• Collaborate effectively in a highly matrixed environment.
• Design actuarial processes to optimize organizational efficiency and to value clinical models.
• Assist in designing and building tools to help in trend projections, forecasting, and value-based care modeling.
• Succinctly communicate outcomes of various projects and analytics to teams across multiple verticals and leadership levels, as well as members of the interdisciplinary team.
• Create sophisticated presentations in PowerPoint using advanced skill sets.
• Perform other related responsibilities as assigned. Perform other related responsibilities as assigned.

How You Qualify

You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.

• Bachelor’s or Advanced (e.g., MBA, MS) degree in Actuarial Science, Mathematics, Statistics, Economics, or a related field required
• Relevant actuarial certification (e.g., ASA, FSA) and a member in good standing with the American Academy of Actuaries required
• 5+ years of experience in actuarial roles
• 2+ years of experience managing and developing a team to meet organizational objective preferred
• Extensive experience in actuarial modeling, pricing, reserving, and risk management within healthcare
• Relevant experience with Medicare Advantage bid preparation
• Strong analytical and modeling skills using Excel
• Strong data analysis skills using SQL and/or SAS
• Ability to work independently, stay focused and complete assigned work in an environment that is unstructured at times
• Demonstrate genuine curiosity on the job when performing data analysis
• Excellent prioritization and communication skills, you must be bold enough to speak up and ask for assistance when needed

The base pay range for this role is $145,200.00 - $170,600.00 Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package.