1 Director, Actuary Job in Lake, FL
TurningPoint Healthcare Solutions, LLC is Hiring a Director, Actuary Near Lake, FL
- Develop a comprehensive pricing and underwriting strategy, including establishment of pricing governance processes and controls, as well as sales support including direct interaction with clients in the form of written and verbal presentations of proposals, assistance with contract negotiations, etc.
- Apply actuarial techniques and statistical analysis across several functions, including claim trend analysis, experience studies, medical economics, profitability analysis, predictive modeling, and/or claim reserving.
- Support ongoing financial reconciliation processes for value-based care contracts, including eligibility, revenue, and claims reconciliation as well as ad hoc financial operations reporting, provider network analysis, and fee schedule pricing
- Independently initiate and lead the development of complex actuarial studies, analyses, and presentation materials needed to appropriately inform decision makers. Make appropriate recommendations to senior management across teams both within the finance department and across other departments to optimize value-based contract performance
- Actively participate in senior leadership meetings, preparing and presenting relevant documents, reports and plans in a timely manner
- Assist senior leadership in financial models and analysis to support strategic partnerships and initiatives
- Process improvements within areas of oversight. Develops and implements plans/projects to improve operational efficiency and effectiveness.
- Hiring and development of staff and succession planning. Communicates goals, objectives, accountabilities, priorities, and authority parameters to assigned staff. Develops leaders through mentoring and coaching of direct reports.
- Building and managing a strong actuarial team is a must, including inspiring, leading, mentoring, measuring and appraising the actuarial team to ensure stellar capabilities at all levels as well as driving a culture of financial accuracy and accountability
- Bachelor’s Degree in Mathematics, Statistics, Actuarial Science, Finance, Economics or related field.
- ASA in the Society of Actuaries required, FSA preferred
- Membership in the American Academy of Actuaries
- Minimum of seven (7 ) plus years of healthcare actuarial or similar experience.
- Proven track record of excelling in high performance, analytic and data-driven cultures and in high growth corporate, venture capital or private equity funded environment.
- Possesses and applies a comprehensive and in-depth knowledge of actuarial principles, concepts, practices and processes as well as healthcare claims data
- Experience leading diverse teams and managing cross functional projects to drive corporate initiatives
- Prior experience in partner/provider analytics, payer-provider contracting, or value-based care
- Possesses significant expertise to complete complex assignments and ability to visualize, articulate, and solve complex problems while leading others to complete complex assignments
- Ability to present highly technical concepts to technical and non-technical audiences
- Proficiency in SQL, SAS, or an understanding of Python strongly preferred
Job Summary
Full Time
Business Services
$168k-215k (estimate)
02/09/2024
06/02/2024
tpshealth.com
HEATHROW, FL
50 - 100
2014
ERIK PEZZI
$10M - $50M
Business Services
Related Companies
The job skills required for Director, Actuary include Actuarial, Pricing, Underwriting, Analysis, Actuarial Science, Leadership, etc. Having related job skills and expertise will give you an advantage when applying to be a Director, Actuary. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Director, Actuary. Select any job title you are interested in and start to search job requirements.
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