Associate Actuarial Director
Full Time US
30+ days ago Requisition ID: 1245
Position Summary
Reasons you will want this position:
Join our rapidly expanding company, which will provide you with limitless challenges in developing and enhancing algorithms.
Our culture actively values and rewards innovative ideas, particularly those that lead to better outcomes for all.
Significantly elevate your communication and presentation abilities while working closely with our client\'s key stakeholders.
Work where you are most productive: from home, in the office, or hybrid.
Summary
As the Associate Actuarial Director, you will help oversee and lead the development of key value-based care analytical solutions. To be successful in this role, you should have enthusiasm for collaborating with cross-functional teams to creatively solve problems through analytic approaches. Ultimately, the Actuary helps build algorithms and structured analyses that guide our clients in making the most impactful decisions by identifying cost and quality improvement opportunities.
Lead the development and maintenance of actuarial models that support value-based care programs (ACOs, bundle payments, capitation, shared savings/risk)
Assist with the development of actuarial models to assess and evaluate VBC program effectiveness and ROI
Forecast financial performance of CMS/CMMI programs (MSSP, REACH, TEAMS etc.) and identify key drivers of underperformance
Conduct risk adjustment analytics based on various models (CMS/HHS HCC, CDPS, etc.) and the impact on VBC financial performance
Clearly explain value-based contract forecast assumptions, volatility, sensitivity analysis, and risks to clients
Streamline repetitive actuarial tasks by leveraging opportunities to integrate methods as software features, enhancing efficiency and productivity.
Assist software developers in deploying software features through the development of written requirements, definition of use cases, user acceptance testing, and serving as a subject matter expert to assure appropriate use of methods as well as proper communication of limitations and disclosures
Explain reports, forecasts, and findings to various parties, from company executives to clients, shareholders, and government officials
Build predictive models to accurately analyze potential outcomes
Monitor market trends and identify opportunities for new investments and funds
Develop mathematical analyses and financial principles to solve insurance problems that comply with actuarial standards of practice (ASOPs)
Job Location:
Fully Remote/Virtual from within the United States
Required Experience / Qualifications
10+ years of relevant Actuary experience
ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries)
Hands-on experience working with CMS value-based care models (e.g., MSSP and/or ACO REACH/Direct Contracting) as well as experience with models in Commercial, Medicaid and Medicare Advantage market spaces, including Pay for Performance contracts, ACOs, Capitation and Bundle models
Bachelor’s or Master’s degree in mathematics, actuarial science, or business.
Hands-on experience with statistical packages like R or Python
Detailed numerical and analytical skills
Ability to speak professionally and effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
Ability to communicate effectively in writing as appropriate for the needs of the audience and write simple correspondence.
Currently eligible to work in the U.S. without assistance in securing an employment visa or work authorization.
If you join Cedar Gate, you can make great ideas happen for some of the world\'s most dynamic companies. With broad global resources and deep technical know-how, we collaborate with clients to cultivate ideas and deliver results in the medical industry. Choose a career at Cedar Gate and enjoy an innovative environment where challenging and interesting work is part of daily life.
Next to our excellent terms of employment and fringe benefits, we invest considerable resources to provide ongoing training that builds and extends professional, technical, and management skills in all areas. At Cedar Gate, you will operate in a professional environment where teamwork and innovation are immensely encouraged. Together with colleagues, you will work on high-impact projects for many dynamic companies.
About Cedar Gate
Cedar Gate enables payers, providers, employers, and service administrators to excel at value-based care. Our unified technology and services platform enhances and automates data management activities to deliver employer and provider analytics, care management, and payment technology necessary to pursue every payment model and optimize performance in all lines of business. From primary care attribution to bundled payments to capitation, our platform is designed to improve clinical, financial, and operational outcomes for all.
Based in Greenwich, CT, Cedar Gate is private equity backed by GTCR, a leading Chicago-based private equity firm, Ascension Ventures, a strategic healthcare venture firm, and Cobalt Ventures, the investment subsidiary of BCBS of Kansas City. To learn more, visit www.cedargate.com .
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30+ days ago Requisition ID: 1245
Position Summary
Reasons you will want this position:
Join our rapidly expanding company, which will provide you with limitless challenges in developing and enhancing algorithms.
Our culture actively values and rewards innovative ideas, particularly those that lead to better outcomes for all.
Significantly elevate your communication and presentation abilities while working closely with our client\'s key stakeholders.
Work where you are most productive: from home, in the office, or hybrid.
Summary
As the Associate Actuarial Director, you will help oversee and lead the development of key value-based care analytical solutions. To be successful in this role, you should have enthusiasm for collaborating with cross-functional teams to creatively solve problems through analytic approaches. Ultimately, the Actuary helps build algorithms and structured analyses that guide our clients in making the most impactful decisions by identifying cost and quality improvement opportunities.
Lead the development and maintenance of actuarial models that support value-based care programs (ACOs, bundle payments, capitation, shared savings/risk)
Assist with the development of actuarial models to assess and evaluate VBC program effectiveness and ROI
Forecast financial performance of CMS/CMMI programs (MSSP, REACH, TEAMS etc.) and identify key drivers of underperformance
Conduct risk adjustment analytics based on various models (CMS/HHS HCC, CDPS, etc.) and the impact on VBC financial performance
Clearly explain value-based contract forecast assumptions, volatility, sensitivity analysis, and risks to clients
Streamline repetitive actuarial tasks by leveraging opportunities to integrate methods as software features, enhancing efficiency and productivity.
Assist software developers in deploying software features through the development of written requirements, definition of use cases, user acceptance testing, and serving as a subject matter expert to assure appropriate use of methods as well as proper communication of limitations and disclosures
Explain reports, forecasts, and findings to various parties, from company executives to clients, shareholders, and government officials
Build predictive models to accurately analyze potential outcomes
Monitor market trends and identify opportunities for new investments and funds
Develop mathematical analyses and financial principles to solve insurance problems that comply with actuarial standards of practice (ASOPs)
Job Location:
Fully Remote/Virtual from within the United States
Required Experience / Qualifications
10+ years of relevant Actuary experience
ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries)
Hands-on experience working with CMS value-based care models (e.g., MSSP and/or ACO REACH/Direct Contracting) as well as experience with models in Commercial, Medicaid and Medicare Advantage market spaces, including Pay for Performance contracts, ACOs, Capitation and Bundle models
Bachelor’s or Master’s degree in mathematics, actuarial science, or business.
Hands-on experience with statistical packages like R or Python
Detailed numerical and analytical skills
Ability to speak professionally and effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
Ability to communicate effectively in writing as appropriate for the needs of the audience and write simple correspondence.
Currently eligible to work in the U.S. without assistance in securing an employment visa or work authorization.
If you join Cedar Gate, you can make great ideas happen for some of the world\'s most dynamic companies. With broad global resources and deep technical know-how, we collaborate with clients to cultivate ideas and deliver results in the medical industry. Choose a career at Cedar Gate and enjoy an innovative environment where challenging and interesting work is part of daily life.
Next to our excellent terms of employment and fringe benefits, we invest considerable resources to provide ongoing training that builds and extends professional, technical, and management skills in all areas. At Cedar Gate, you will operate in a professional environment where teamwork and innovation are immensely encouraged. Together with colleagues, you will work on high-impact projects for many dynamic companies.
About Cedar Gate
Cedar Gate enables payers, providers, employers, and service administrators to excel at value-based care. Our unified technology and services platform enhances and automates data management activities to deliver employer and provider analytics, care management, and payment technology necessary to pursue every payment model and optimize performance in all lines of business. From primary care attribution to bundled payments to capitation, our platform is designed to improve clinical, financial, and operational outcomes for all.
Based in Greenwich, CT, Cedar Gate is private equity backed by GTCR, a leading Chicago-based private equity firm, Ascension Ventures, a strategic healthcare venture firm, and Cobalt Ventures, the investment subsidiary of BCBS of Kansas City. To learn more, visit www.cedargate.com .
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