Director, Actuarial Services - MSSP

Oliver James Associates Ltd.; Tennessee; Remote; USD 180,000 - 230,000; Full time

Job summary

A leading healthcare organization seeks a Director of Actuarial Services to oversee financial forecasting, budgeting, and provide critical insights for decision-making. The candidate will work cross-functionally, bringing a deep understanding of MSSP programs and a strong actuarial background. This remote position offers a competitive salary, reflecting the advanced skill set required to improve financial outcomes in value-based care settings.

Qualifications

• 8+ years experience in actuarial services, preferably in healthcare.
• Strong communication skills to explain insights to diverse audiences.
• Proven MSSP experience and financial modeling expertise.

Responsibilities

• Lead monthly financial forecasting and budgeting processes.
• Calculate IBNR claims and project associated financials.
• Collaborate with analytics to extract insights from data sets.

Skills

Communication

Forecasting

Financial Optimization

Data Analysis

Collaboration

Education

FSA or Career ASA

Tools

CMS Files

Job description

Title: Director, Actuarial Services - MSSP

Location: Remote

Type: FTE

Salary: $180,000-$230,000 + Bonus

**Only those who do not require any current or future sponsorship can be considered, no 3rd parties**

This business is a forward-thinking healthcare organization focused on delivering data-driven, value-based care solutions, with a strong emphasis on transparency, innovation, and improved patient outcomes.

Key Responsibilities:

Monthly Forecasting: Lead the development of monthly financial forecasts by analyzing key trends in utilization, revenue, and cost across MSSP populations. Collaborate with internal stakeholders to ensure forecasts align with business goals and strategic initiatives.

IBNR Calculations & Financial Projections: Accurately calculate Incurred But Not Reported (IBNR) claims and project associated costs and revenues. Maintain a strong understanding of actuarial methodologies to support financial planning and risk management.

Data Summarization & Insight Translation: Work closely with the Analytics Team to review large datasets, extract key insights, and translate complex data into actionable summaries for use by leadership and operational teams.

Budgeting & Financial Planning: Take ownership of the biannual budgeting process (typically in October and January), developing detailed financial models to guide decision-making and ensure alignment with long-term business strategies.

Business Development Support: Partner with the growth and sales teams to provide actuarial input and insights that support new business opportunities and partnership strategies, including financial modeling and scenario analysis.

Collaboration with Partners & Providers: Work cross-functionally with external providers, internal teams, and business partners to ensure alignment on shared goals. Communicate actuarial concepts in a clear and strategic manner to drive stakeholder understanding and engagement.

Cross-Departmental Communication: Serve as a key liaison between actuarial, clinical, operational, and executive teams. Be capable of explaining actuarial and financial work in the context of the broader organizational objectives, especially when working with external provider partners.

What We're Looking For:

Strong Communication: Able to clearly explain actuarial insights to both technical and non-technical audiences.

8+ Years Experience: Significant actuarial background, ideally in healthcare or value-based care.

FSA or Career ASA: Credentialed actuary with relevant experience and professional designation.

Strong MSSP Experience: Deep understanding of MSSP programs and performance metrics

Forecasting Skills: Proven ability to build and maintain cost and revenue forecasts.

CMS Data Proficiency: Comfortable working with CMS files for analysis and modeling.

Financial Optimization Focus: Skilled at identifying levers to improve financial results.

To be considered for the role please apply online or email an updated Resume to Brandon Cook at Oliver James - [e-mail]