Senior Director, Actuarial Services

Hello Heart; United States; Remote; USD 235.000 - 270.000; Vollzeit

Zusammenfassung

Hello Heart in the United States is seeking a strategic Senior Director, Actuarial Services to lead actuarial strategy, health economic analyses, and financial value demonstrations across the business. The role partners with customers, consultants, health plans, and internal stakeholders to translate complex healthcare data into clear, actionable insights that support growth and strategic decisions.

Reporting to the VP, Commercial Actuary, you will shape health economic research and pricing

Qualifikationen

• 10+ years actuarial experience in healthcare or related orgs.
• Experience presenting analyses to customers, consultants, or executives.
• Ability to translate actuarial findings into strategic value.

Aufgaben

• Lead actuarial strategy, health economics analyses, and value demonstration.
• Partner with customers, consultants, health plans, and internal stakeholders.
• Develop risk-based pricing models and performance guarantees.
• Oversee health economic studies and cost savings analyses.
• Present findings to customers, payers, and industry audiences.
• Collaborate with Sales, Medical Affairs, Finance and Growth teams.

Kenntnisse

Client-facing / sales support

Actuarial expertise

Healthcare economics

Data storytelling

Cross-functional collaboration

Ausbildung

Bachelor's in Mathematics/Statistics/Economics/Actuarial Science

ASA or FSA credential

Tools

R programming

AI tools & workflows

Jobbeschreibung

Hello Heart is on a mission to make heart attacks a thing of the past.

We’re an AI company focused exclusively on heart health, building a platform that predicts and prevents cardiac events before they happen—identifying risk up to 10 days in advance versus 10 years in traditional clinical models.

This is already working at scale. Hello Heart has been shown to reduce inpatient hospital days by 47% and deliver ~$1,800 in annual savings per member.Hello Heart is the cardiac prevention partner to over 80% of large U.S. health plans and serves hundreds of public and private employers. We’re defining how the #1 cause of death—heart disease is managed in the AI era. Join us.

About the role:

Hello Heart is looking for a strategic and commercially minded Senior Director, Actuarial Services to lead actuarial strategy, health economic analyses, and financial value demonstration across our business.

In this highly visible role, you will serve as Hello Heart's actuarial expert, translating complex healthcare data into clear, compelling insights that demonstrate the clinical and financial value of our heart health solution. You will partner with customers, consultants, health plans, and internal stakeholders to strengthen our value proposition, support commercial growth, and inform strategic decision‑making.

Reporting into our VP, Commercial Actuary, you will collaborate closely with Medical Affairs, Consultant Relations, Sales, Growth, Customer Success, and Finance. You will lead health economic research, develop risk‑based pricing models, oversee performance guarantees and related reserves, and represent Hello Heart in high‑impact client and consultant engagements.

This is an opportunity to shape how we measure, communicate, and deliver value while advancing our mission to empower people to understand and improve their heart health.

Responsibilities

• Partner with Sales, Consultant Relations, and Customer Success to strengthen proposals and communicate Hello Heart's economic value.
• As a client-facing member of the team, join client and consultant calls, performance reviews, and renewal value conversations, providing strategy, decisions, and key input as a credible face of Hello Heart.
• Advocate for sound actuarial practices, appropriate methodologies, and effective processes that support high-quality analyses and informed decision-making.
• Serve as one of Hello Heart's primary actuarial subject matter experts, providing strategic guidance on healthcare economics, financial outcomes, pricing, and market opportunities.
• Lead health economic studies, cost savings analyses, and outcomes research that quantify the impact of Hello Heart and support commercial growth.
• Leverage medical claims, pharmacy claims, and other large datasets to evaluate healthcare utilization, medication adherence, costs, and financial outcomes.
• Develop and maintain competitive performance guarantee offerings, assess associated financial risks, oversee reserve requirements, and educate internal stakeholders.
• Develop risk-based pricing approaches and support value-based contracting and specialty incentive opportunities.
• Present actuarial and health economic findings to customers, consultants, payers, industry audiences, other external stakeholders, and at conferences.
• Serve as the primary actuarial contact for independent cost savings studies, research collaborations, and analyses conducted with consultants and external partners.
• Evaluate the anticipated clinical and financial impact of new products and services, identify market opportunities, and provide actuarial input into strategic planning.
• Develop executive-ready presentations, research materials, and publications that make complex statistical findings accessible and actionable.
• Track healthcare market dynamics, competitor trends, Medicare Advantage quality measures, and emerging reimbursement models to inform business decisions.

Qualifications

• 10+ years of actuarial experience within healthcare, health insurance, or a related healthcare organization, including experience conducting health economic and financial analyses.
• Client-facing or sales-support experience, such as in consulting or a startup, with a track record of presenting analyses to customers, consultants, or executives.
• A credible storyteller and strong listener who builds trust quickly.
• Deep knowledge of actuarial principles, healthcare economics, risk assessment, and statistical methodologies, with the ability to apply findings to commercial and strategic decisions.
• Proficiency in R and experience analyzing large medical and pharmacy claims datasets, including paid and allowed amounts, healthcare utilization, and medication adherence measures.
• Demonstrated ability to leverage artificial intelligence tools and agents to streamline research, analysis, reporting, and complex workflows while critically evaluating outputs for accuracy and reliability.
• Bachelor's degree in Mathematics, Statistics, Economics, Actuarial Science, or a related field.
• Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) credential.
• Experience developing or evaluating healthcare cost savings studies, financial outcomes research, performance guarantees, and risk-based pricing models.
• Understanding of risk adjustment, Medicare Advantage Star Ratings, healthcare quality metrics, and related audit processes.
• Strong written and verbal communication skills, including the ability to translate complex actuarial and statistical concepts into compelling presentations for executive and external audiences.
• Proven ability to influence cross-functional stakeholders, manage competing priorities, and independently drive high-impact initiatives in a fast-paced environment.
• Willingness to travel up to 20% of the time.

The United States base salary range for this full-time position is $235,000 to $270,000. Salary ranges are determined by role and level. Individual compensation is based on job-related skills, experience, and relevant education or training. Compensation details listed in United States job postings reflect annual salary and bonus only and do not include equity or benefits.

Hello Heart has a positive, diverse, and supportive culture - we look for people who are collaborative, creative, and courageous. Oh, and if you want to see some recent evidence of the fun things we do at Hello Heart, check out our Instagram page .

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Hello Heart’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.