Current jobs related to Director, Actuarial Services - San Jacinto, California - Evolent Health

  • Actuarial Consultant

    4 weeks ago

    San Francisco, California, United States The Segal Group, Inc Full time

    Position Overview - Actuarial AnalystThis role presents an exciting opportunity to leverage analytical, problem-solving, communication, and technological skills to develop solutions for complex client challenges. Actuarial Analysts operate both independently and collaboratively to provide consulting services to a diverse array of defined benefit clients....

  • Actuarial Consultant

    4 weeks ago

    San Francisco, California, United States The Segal Group, Inc Full time

    Position Overview - Actuarial AnalystThe OpportunityThis role presents an immediate chance to utilize analytical, problem-solving, communication, and technological skills to contribute to the formulation of solutions for complex client challenges. Actuarial Analysts operate both independently and collaboratively to provide consulting services to a wide array...

  • Actuarial Risk Analyst

    4 days ago

    San Francisco, California, United States BWD Search Full time

    Actuarial Analyst V Job DescriptionBWD Search is partnering with a West Coast-based Health Insurer to find a skilled Actuarial Analyst V who will play a key role in assessing financial risk for our organization.Key Responsibilities:Conduct in-depth research to identify and analyze financial risks and opportunities, ensuring alignment with financial reports...

  • Healthcare Financial Director

    6 days ago

    San Francisco, California, United States Willis Towers Watson Full time

    About the RoleThis is a key position within the Financial Actuarial & Analytics (FAA) Community of Expertise at Willis Towers Watson. As a Healthcare Financial/Actuarial Director, you will lead clients' financial/actuarial engagements for a portfolio of clients and/or significantly contribute to complex clients across the full spectrum of employer health and...

  • Actuarial Specialist: Launch Your Career with Aon

    2 weeks ago

    San Francisco, California, United States Aon Full time

    About the RoleAon is seeking highly motivated and talented individuals to join our Early Careers Development Program as Actuarial Specialists. This is an exciting opportunity to launch your career in actuarial consulting and work with a global leader in the industry.Key ResponsibilitiesCraft projections of long-term financial information for pension and...

  • Actuarial Manager, Pricing Specialist

    2 weeks ago

    San Francisco, California, United States At-Bay Full time

    About At-BayAt-Bay is a pioneering insurance company that combines cutting-edge technology with industry-leading expertise to help clients navigate complex risk landscapes. By partnering with brokers and business owners, we provide innovative insurance products and proactive risk monitoring services tailored to meet the unique needs of companies across...

  • Actuary Consultant

    2 weeks ago

    San Francisco, California, United States The Segal Group, Inc Full time

    About The Segal Group, Inc.We are a leading North American employee benefit, human resources, and investment management consulting firm with over 80 years of history providing trusted advice that improves lives.Job SummaryWe are currently recruiting for a Consulting Actuary/Client Relationship Manager (CRM) to support a book of business in the West Region...

  • Actuarial Specialist in Value-Based Care

    3 weeks ago

    San Francisco, California, United States Arbital Health Full time

    Arbital Health is at the forefront of transitioning from traditional fee-for-service models to innovative value-based care frameworks through a neutral, third-party platform. Our mission is to empower clients to design, assess, and implement value-based care agreements that enhance resource utilization and improve patient outcomes.We are seeking highly...

  • Actuarial Specialist in Value-Based Care

    4 weeks ago

    San Francisco, California, United States Arbital Health Full time

    Arbital Health is at the forefront of transitioning from traditional fee-for-service models to innovative value-based care frameworks through a neutral, third-party platform. Our mission is to empower clients to design, assess, and implement value-based care agreements that enhance resource utilization and improve patient outcomes.We are seeking highly...

  • Actuarial Specialist in Value-Based Care

    4 weeks ago

    San Francisco, California, United States Arbital Health Full time

    Arbital Health is at the forefront of transitioning from traditional fee-for-service models to innovative value-based care frameworks through a neutral, third-party platform. Our mission is to empower clients to establish, assess, and implement value-based care agreements that maximize resources and improve patient outcomes.We are looking for exceptionally...

  • Actuarial Specialist in Value-Based Care

    4 weeks ago

    San Francisco, California, United States Arbital Health Full time

    Arbital Health is at the forefront of shifting from traditional fee-for-service models to innovative value-based care frameworks through a neutral, third-party platform. Our mission is to empower clients to establish, assess, and implement value-based care agreements that maximize resources and improve patient outcomes.We are seeking exceptionally talented...

  • Actuarial Specialist in Value-Based Care

    4 weeks ago

    San Francisco, California, United States Arbital Health Full time

    Arbital Health is at the forefront of shifting from traditional fee-for-service models to innovative value-based care frameworks through a neutral, third-party platform. Our mission is to empower clients to establish, assess, and implement value-based care agreements that enhance resource utilization and improve patient outcomes.We are seeking exceptionally...

  • Actuarial Specialist in Value-Based Care

    4 weeks ago

    San Francisco, California, United States Arbital Health Full time

    Arbital Health is at the forefront of shifting from traditional fee-for-service models to innovative value-based care frameworks through a neutral, third-party platform. Our mission is to empower clients to design, assess, and implement value-based care agreements that enhance resource utilization and improve patient outcomes.We are seeking exceptionally...

  • Regional Director of Operations

    2 weeks ago

    San Jacinto, California, United States Compass Group, North America Full time

    Regional Director of OperationsCompass Group, North America is seeking a highly skilled Regional Director of Operations to lead our team in Phoenix, Arizona. As a key member of our leadership team, you will be responsible for ensuring high-quality services, financial success, and client satisfaction within the region.Key Responsibilities:Manage accounts in...

  • Regional Services Director

    2 weeks ago

    San Ramon, California, United States PriMed Management Consulting Services , Inc. Full time

    Job DescriptionJob Summary: We are seeking a highly skilled Regional Services Director to join our team at PriMed Management Consulting Services, Inc. The successful candidate will be responsible for managing staff and projects that support the development and maintenance of a comprehensive, accessible physician network.Key Responsibilities:Manage staff...

  • Commercial HVAC Service Director

    2 weeks ago

    San Francisco, California, United States Fowler Placement Services Full time

    Job SummaryFowler Placement Services is seeking an experienced Commercial HVAC Service Director to lead our HVAC team in installing, maintaining, and repairing commercial HVAC systems. As a key member of our team, you will be responsible for overseeing the daily operations of our HVAC department, ensuring customer satisfaction, and driving business...

  • Clinical Director

    2 weeks ago

    San Jose, California, United States Proficio Therapy Services Full time

    About the RoleAs a Clinical Director - ABA Services at Proficio Therapy Services, you will play a vital role in shaping the future of our organization. We are seeking a highly skilled and experienced professional to lead our ABA services team.Key ResponsibilitiesAssess client needs and develop personalized behavior intervention plansSupervise and provide...

  • Service Director

    4 days ago

    San Francisco, California, United States Atelier Crenn Full time

    About Atelier CrennAtelier Crenn is a culinary experience that challenges convention with a planet-first mindset. We are guided by our values of humanity, sustainability, artistry, and equity. Our mission is to create an exceptional dining experience that exceeds our guests' expectations.Job SummaryWe are seeking a highly skilled and experienced Service...

  • Service Director

    2 weeks ago

    San Francisco, California, United States Atelier Crenn Full time

    About Atelier CrennAtelier Crenn is a culinary experience that challenges convention with a planet-first mindset. We are guided by our values of humanity, sustainability, artistry, and equity. Our mission is to create a unique and memorable experience for our guests, while also promoting a culture of inclusion and respect.Job SummaryWe are seeking a highly...

  • Operations Director

    2 weeks ago

    San Diego, California, United States Moniker Management Services LLC Full time

    Job Title: Operations DirectorWe are seeking a highly skilled and experienced Operations Director to join our team at Moniker Management Services LLC. As an Operations Director, you will be responsible for overseeing the preparation and staffing of our events, ensuring that all operations run smoothly and efficiently.Key Responsibilities:Event Management:...

Director, Actuarial Services

3 months ago

San Jacinto, California, United States Evolent Health Full time
Evolent Health

Director, Actuarial Services

Phoenix ,

Arizona

Apply Now


Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions.

Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done.

We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work.

That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.

What You'll Be Doing:


Our Primary Care Actuarial Team offers candidates the opportunity to support the evolution of value-based care across all lines of business by collaborating directly with primary care providers.

We are advocates for creating patient value and demonstrate this by ensuring that our financial arrangements are actuarially sound and sustainable.

We value humility, adaptability, intellectual curiosity, and accountability as we solve complex business problems.

The Director, Actuarial utilizes and develops analytical tools to solve complex business challenges as well as support decision making that can have a considerable impact on the organization and patient health.

This role supports Evolent Primary Care activities as well as broader Actuarial business efforts.

What You Will Be Doing:


Lead forecasting and modeling for value-based care arrangements with government and commercial payors, including medical expenses, risk scores, benchmark/premiums, attribution, and (Incurred but not reported) IBNR reserves.

Partner with Evolent Care Partners (ECP's) Growth team to evaluate new payors and providers; Support negotiation of value-based contracts with payors, providers, and vendors
Lead quarterly compliance testing and accounting recommendations for dedicated Value Based Care (VBC) contracts.
Partner with team members on complex and ill-defined business problems
Creatively leverage public and non-public datasets to inform key analyses
Partner with finance/accounting teams for revenue and expense recognition
Consistently deliver high-quality, error-free deliverables
Manage a project queue; ensure projects meet strategic objectives and are managed to timelines
Be reliable; set clear expectations, communicate proactively, and escalate risks as needed

Qualifications - Required and Preferred:
Bachelor's degree, preferably with a quantitative major (e.g. actuarial science, statistics, mathematics, economics, data science) –

Required.
Associate or Fellow of the Society of Actuaries -

Required

.
5+ years of experience in a health actuarial setting-

Required

.
Strong proficiency with Microsoft Excel–

Required.
Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs –

Required.
Exceptionally strong analytical abilities, with track record of identifying insights from quantitative and qualitative data-

Required

.
PreviousAccountable Care Organization (ACO) Experience –

Strongly

Preferred.
Actuarial experience with CMS Initiatives such as MSSP, ACO Reach, Primary Care First-

Strongly

Preferred.
Actuarial experience within value-based contracting across payers (Medicare Advantage, Commercial, Medicaid)-

Strongly

Preferred.
Experience in claims-based healthcare analytics to drive decision making and with Hierarchical Condition Category Risk Adjustment-

Preferred

.
Leadership/ mentoring experience supporting team goals–

Preferred.
Proficiency with query languages such as Python, R, SQL, or SAS, mechanics, implementation, and impact modeling-

Preferred.
Experience with BI tools (e.g. Power BI, Tableau, MicroStrategy)-

Preferred.

Technical Requirements:


We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router.

These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.

If you need reasonable accommodation to access the information provided on this website, please contact

for further assistance.
The expected base salary/wage range for this position is $135,000 up to $150,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors.

As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees.

All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.

Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit
For more insights about Evolent Health, click on Life At Evolent ) to learn more

#J-18808-Ljbffr