Senior Director, Actuarial - Risk Adjustment

Senior Director Health Actuarial RoleSpecialist in a carrier actuarial function. Closer to a carrier specialist role than capital strategy: the remit is a defined ACA risk adjustment function rather than enterprise capital, ERM, or ORSA.Senior Director health actuarial role focused on ACA Exchange risk adjustment in a fully remote U.S. position. You will lead financial reporting, forecasting, risk-score and morbidity analysis, executive reporting, and strategic analytics while managing an actuarial team and partnering across Finance, Operations, Medical Economics, and Data Science. The role requires 12+ years of healthcare quantitative analysis and reports to the VP, Corporate Actuarial.RequirementsMust Have12+ years of quantitative analysis in the healthcare industry5+ years of collaborating and influencing an Executive Leadership CommitteeProven experience in a pricing role, or a related analytics-driven leadership roleStrong government programs risk adjustment subject matter expertise, preferably in ACA MarketplaceBachelor's degree in a STEM field, or 4 years commensurate experienceStrongly PreferredExtensive experience leading actuarial financial reporting, including claims reserving and risk adjustmentQualified (or willing to become qualified) to serve as appointed actuary for insurance companies per the American Academy of Actuaries' qualification standardFellow of the Society of Actuaries (SOA), or on the track to become oneExcellent communication, collaboration, and relationship-building skillsStrong process management skills, with experience streamlining workflows and driving operational efficiencyCollaborative and influential leadership style, with experience partnering across multiple teams and stakeholdersStrong familiarity with ACA-specific healthcare laws, regulations, and compliance requirementsDomain ACA risk adjustment Government programs risk adjustment Healthcare quantitative analysis Executive leadership collaboration