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Director of Actuarial AnalyticsVirtualVocations • Aloha, Oregon, United States
Director of Actuarial Analytics

Director of Actuarial Analytics

VirtualVocations • Aloha, Oregon, United States
3 days ago
Job type
  • Full-time
Job description
Leading health plan and risk adjustment analytics, the full-time remote Director of Actuarial Analytics will build member-level actuarial models, develop analytics for rate-setting, and communicate findings to both actuarial and non-actuarial stakeholders. Key responsibilities Build and maintain member-level actuarial models for risk adjustment performance and medical economics Develop analytics to support rate-setting for various Medicare and Medicaid programs Communicate model methodology and results clearly to customer executives and non-actuarial audiences Required qualifications Seven or more years of actuarial or actuarial-adjacent analytics experience in health plan pricing or risk adjustment Direct pricing or performance modeling experience across Medicare Advantage, MAPD, ACA, or Medicaid Working knowledge of CMS-HCC and ACA risk models, including RAF score calculation Demonstrated experience building member-level data models for reporting or dashboard tools Bachelor's degree in actuarial science, mathematics, statistics, economics, or a related quantitative field
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Director of Actuarial Analytics • Aloha, Oregon, United States

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