Director, Actuarial Services (Remote)

Aledade; United States; Remote; USD 120,000 - 160,000; Full time

Job summary

Aledade seeks a Director of Actuarial Services to lead risk evaluation in value-based care contracts. This role involves developing actuarial models, collaborating with finance teams, and supporting public health initiatives. The ideal candidate has extensive healthcare experience and strong analytical skills, with a commitment to improving healthcare quality through innovative solutions.

Benefits

Flexible schedules

Comprehensive health coverage

Paid time off

Parental leave

Sabbaticals

Educational programs

401(k)

Stock options

Qualifications

• 12+ years in healthcare with health plans or consulting firms.
• 8+ years performing healthcare actuarial analyses.
• Fellow (FSA) or Associate (ASA) of the Society of Actuaries.

Responsibilities

• Develop and maintain an actuarial framework for evaluating risk.
• Identify risks exceeding thresholds and develop mitigation recommendations.
• Collaborate cross-functionally and perform analyses to support teams.

Skills

Data Manipulation

Communication

Leadership

Education

Bachelor’s degree in Finance

Bachelor’s degree in Economics

Bachelor’s degree in Actuarial Sciences

Bachelor’s degree in Statistics

Bachelor’s degree in Math

Tools

Excel

SQL

Python

R

Google Workspace

Microsoft Office

Job description

The Director, Actuarial Services will apply a rigorous analytical approach to value-based care contracts, focusing on evaluating, managing, and forecasting risk within Aledade’s Medicare Advantage, Commercial, and Medicaid contracts. This person will develop actuarial models to assess potential financial impacts under various performance scenarios, which will inform reporting, disclosure processes, and risk mitigation efforts across Aledade.

This role supports and reports to the Chief Actuary in developing mature actuarial and economic frameworks for evaluating value-based care contracts and translating strategic targets into risk decision architectures across multiple lines of business. The role also involves close collaboration with Aledade’s internal Finance and Performance teams.

We are flexible regarding geographic location; the ideal candidate will be comfortable working remotely within the United States.

Primary Duties:

1. Develop and maintain an actuarial/economic framework for evaluating risk in value-based care contracts across MA, Commercial, and Medicaid.
2. Identify risks exceeding thresholds and develop mitigation recommendations.
3. Collaborate cross-functionally and perform analyses to support other Aledade teams.

Minimum Qualifications:

1. 12+ years in healthcare with health plans, provider groups, or consulting firms within value-based care, and 8+ years performing healthcare actuarial analyses.
2. Bachelor’s degree in Finance, Economics, Actuarial Sciences, Statistics, Math, or a related quantitative field.
3. Fellow (FSA) or Associate (ASA) of the Society of Actuaries.

Preferred Knowledge, Skills, and Abilities:

1. Advanced degrees in related fields (Master’s preferred).
2. Strong data manipulation skills, including Excel, SQL, and basic Python, R, or similar.
3. Experience with Google Workspace and Microsoft Office.
4. Knowledge of healthcare utilization, spending, quality measures, risk adjustment, and provider profiling.
5. Ability to communicate actuarial concepts clearly to diverse audiences.
6. Proven ability to lead complex projects independently.
7. Experience with MA mechanisms, industry structure, and projections related to premiums, costs, and MLR.
8. Experience managing teams and working in fast-changing healthcare environments.
9. Passion for transitioning to value-based care and supporting independent primary care.

Who We Are:

Aledade is a public benefit corporation founded in 2014, building the largest network of independent primary care practices in the U.S., committed to improving healthcare quality and sustainability through value-based contracts.

What Does This Mean for You?

You will join a passionate, collaborative team dedicated to public health, with benefits supporting work-life balance, including flexible schedules, comprehensive health coverage, paid time off, parental leave, sabbaticals, educational programs, 401(k), stock options, and more.

At Aledade, we celebrate diversity and are committed to creating an inclusive environment where all qualified candidates are considered fairly, regardless of background or identity.

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