Director, Strategic Actuarial & Risk Management

Sharp Health Plan; San Diego (CA); On-site; USD 105,000 - 165,000; Full time

Job summary

Sharp HealthCare seeks a Director of Actuarial and Risk Management Services to provide strategic leadership in actuarial analysis, risk adjustment, underwriting, and financial forecasting. This role informs pricing, revenue optimization, product strategy, and enterprise decisions, partnering with Finance, Clinical, Operations and Executive Leadership.

The position emphasizes collaboration, governance, and advanced analytics to strengthen financial stability and competitive positioning in the

Qualifications

• Bachelor's degree in actuarial science or related quantitative field.
• 8+ years progressive health actuarial experience including pricing, forecasting, underwriting, risk adjustment, financial analytics.
• 5+ years leadership or management experience
• 3+ years experience supporting commercial health plan products, rate development, underwriting, pricing, and regulatory filings.
• 3+ years experience preparing or overseeing actuarial analyses, financial forecasts, regulatory exhibits, models, or certifications.
• ASA certification REQUIRED; MAAA is preferred.

Responsibilities

• Provide strategic leadership for actuarial analysis, risk adjustment, underwriting, and financial forecasting.
• Translates complex data into actionable insights for pricing, revenue optimization, and product strategy.
• Collaborate with Finance, Clinical, Operations, and Executive Leadership to ensure accurate risk assessment and financial stability.
• Lead pricing, underwriting, and risk management initiatives; develop and maintain actuarial models and methodologies.
• Support regulatory filings, audits, and governance related to rate development and financial performance.

Education

Bachelor's Degree Actuarial Science, Mathematics, Statistics, Finance, Economics, or a related quantitative field

ASA (Associate of the Society of Actuaries)

MAAA (Member of the American Academy of Actuaries)

Job description

Sharp HealthCare seeks a Director of Actuarial and Risk Management Services to provide strategic leadership in actuarial analysis, risk adjustment, underwriting, and financial forecasting. This role informs pricing, revenue optimization, product strategy, and enterprise decisions, partnering with Finance, Clinical, Operations and Executive Leadership.

The position emphasizes collaboration, governance, and advanced analytics to strengthen financial stability and competitive positioning in the