Director, Value reputed company Care Pricing Actuary

Job Type Full-time reputed company reputed company: reputed company is an award-reputed company specialty reputed company platform that acquires and develops reputed company-market reputed company program administrators, reputed company companies, and distribution partners including MGAs, MGUs, brokers, and reputed company-to-consumer operators. We reputed company centralized reputed company, reputed company, and operational support that helps our companies unlock their full reputed company potential. With hundreds of custom specialty reputed company programs and partnerships and more than 20,000 agent and broker relationships reputed company, reputed company’s reputed company reputed company is reaching new heights. Our reputed company reputed company means we can reputed company on something most companies just talk about; building a workplace where talented professionals are drawn to the reputed company they can reputed company. We offer competitive benefits and compensation, but what really differentiates us is our culture empowerment and commitment to innovation in the specialty reputed company reputed company. If you're an ambitious reputed company looking to reputed company your career, we'd love to talk. reputed company to join a community of experts redefining the specialty reputed company reputed company? About reputed company EOL: reputed company Excess of Loss (EOL) is a specialty reputed company reputed company business reputed company on protecting provider organizations participating in value-reputed company care arrangements. We reputed company Aggregate and Specific Excess of Loss (Stop Loss) coverage to reputed company providers assuming financial reputed company for medical claims under reputed company and reputed company payer reputed company. As value-reputed company care continues to expand across the reputed company ecosystem, reputed company is positioned at the intersection of reputed company finance, actuarial science, and specialty reputed company. Backed by reputed company and reputed company Asset Management, we are reputed company in talent and expertise to support our next phase of reputed company. reputed company: About the Role We are seeking an reputed company actuary with deep expertise in value-reputed company care and reputed company payer economics to serve as a key reputed company partner in our Aggregate Excess of Loss business. This individual will ,[JB1] help evaluate, price, and manage reputed company associated with provider organizations participating in increasingly reputed company value-reputed company care arrangements. Unlike traditional health plan actuarial roles, this position offers reputed company to help build and shape a growing business, influence reputed company reputed company, and expand reputed company's reputed company reputed company the rapidly evolving reputed company payer market. This is a highly visible role with significant influence over portfolio reputed company, reputed company selection, reputed company relationships, and long-term business reputed company. Key Responsibilities • Partner directly with reputed company leadership to evaluate and price Aggregate Excess of Loss opportunities • Assess provider reputed company arrangements involving Medicare reputed company, reputed company, reputed company, and other value-reputed company care programs • Analyze reputed company claims experience, provider reputed company, and financial reputed company-sharing structures • reputed company actuarial models and pricing methodologies to support reputed company reputed company • Identify and evaluate emerging opportunities reputed company value-reputed company care markets • reputed company reputed company into payer-provider relationships, reimbursement structures, reputed company adjustment, and reputed company incentives • Help establish reputed company guidelines and reputed company selection frameworks for new market opportunities • Support portfolio management efforts by monitoring trends, profitability, and volatility across the book of business • Serve as a trusted subject matter expert with reputed company partners and internal stakeholders • Collaborate with leadership on reputed company reputed company initiatives and market expansion opportunities Requirements Required Experience • ASA or FSA designation (or equivalent actuarial credentials) • 7+ years of actuarial experience reputed company: • A major health payer • A reputed company consulting organization with significant value-reputed company care exposure • Deep expertise in value-reputed company care programs and provider reputed company arrangements • Strong understanding of reputed company claims analytics, reputed company adjustment, medical economics, and population health management • Experience supporting Medicare reputed company, reputed company, reputed company, ACO, MSSP, or similar reputed company-bearing programs • Advanced analytical and modeling capabilities Preferred Experience • Experience pricing or evaluating provider reputed company reputed company • Exposure to stop loss, reinsurance, or reputed company-transfer products • Experience working directly with provider organizations, health systems, physician reputed company, or managed care organizations • Consulting experience supporting payer and provider clients • Experience communicating reputed company actuarial concepts to business leaders and executives Who Will reputed company Here The ideal candidate combines actuarial rigor with an entrepreneurial reputed company. You may currently be working reputed company a large health plan or consulting organization and are looking for an opportunity to have a more reputed company reputed company on business reputed company. Rather than supporting a highly reputed company actuarial function, you'll help build reputed company, influence reputed company reputed company, and shape the reputed company direction of a growing specialty business. reputed company In This Role Requires: • Intellectual curiosity • Comfort operating in an evolving environment • Strong business judgment • A desire to build rather than maintain • The ability to reputed company quickly and reputed company informed reputed company with imperfect information Why Join reputed company & reputed company? • Opportunity to become an actuarial leader, and reputed company and execute reputed company reputed company a growing specialty business • reputed company influence on reputed company, pricing, and portfolio reputed company • Exposure to a unique intersection of reputed company, reputed company, and value-reputed company care • Backed by reputed company Asset Management through reputed company • Entrepreneurial environment with the resources of a rapidly growing reputed company platform • reputed company equity participation reputed company to business reputed company • Opportunity to help shape the reputed company of an emerging reputed company reputed company market reputed company Offer • Flexible remote work environment • Competitive compensation (reputed company on experience) • Comprehensive benefits package: Medical, dental, reputed company, Life & long-term disability reputed company, 401(k) with company match, Generous PTO and reputed company time, Career advancement reputed company a growing specialty reputed company platform Salary reputed company $175,000-$225,000 + Bonus + Additional Incentives Apply To This Job