Remote Director, Actuarial & Healthcare Analytics

Avalon Administrative Services LLC; Tampa (FL); Hybrid; USD 150,000 - 190,000; Full time

Job summary

Avalon Healthcare Solutions seeks a Director of Actuarial Services to lead actuarial and healthcare analytics, building and maintaining models, forecasts, and risk analyses to inform strategic decisions. The role collaborates with executive leadership to shape pricing strategies, financial forecasting, and regulatory compliance.

Remote work is possible with quarterly travel to the Tampa, FL corporate office.

Qualifications

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related quantitative field.
• ASA designation required at minimum.
• MAAA membership required.
• 5+ years actuarial experience, health plan/managed care setting preferred.
• Proficiency in actuarial/analytical tools (Excel/VBA, Tableau, SAS, R, Python).
• Understanding of ACA regulations and CMS programs.

Responsibilities

• Direct development/maintenance of actuarial models for all lines of business.
• Monitor program performance and implement actionable plans.
• Oversee medical cost trend analysis and PMPM projections.
• Own the reserving process including IBNR and experience analyses.
• Ensure regulatory compliance and communicate findings to leadership.
• Collaborate with Finance, Health Analytics, Network Management, and Product teams.

Skills

Strong communication

Analytical thinking

Problem solving

Verbal communication

Education

Bachelors in Actuarial Science/Math/Statistics

Tools

Excel/VBA

Tableau

SAS

R

Python

Job description

Avalon Healthcare Solutions seeks a Director of Actuarial Services to lead actuarial and healthcare analytics, building and maintaining models, forecasts, and risk analyses to inform strategic decisions. The role collaborates with executive leadership to shape pricing strategies, financial forecasting, and regulatory compliance.

Remote work is possible with quarterly travel to the Tampa, FL corporate office.