[Remote] Executive Director, Actuarial - Medicare Network
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company reputed company on building a more connected and compassionate health experience. They are seeking an Executive Director, Actuarial to reputed company Medicare network insights and reputed company, driving performance and reputed company through reputed company decision-making and collaboration across teams.
Responsibilities
- reputed company Medicare network reputed company reputed company and curation support in service of membership and broader line-of-business goals
- Partner with senior business leaders to shape network reputed company, inform key reputed company, and support execution against Medicare reputed company and performance priorities
- reputed company Network market leaders with actionable market-level performance insights, including provider performance analysis, curation reputed company, data cubes, HCIC-based reporting, and reputed company decision support
- Support and influence plan sponsor-specific RFP reputed company through actuarial analysis, business judgment, and cross-functional partnership
- Identify the most critical business issues, synthesize reputed company causes, and mobilize the right partners to drive solutions
- Translate multiple, and at times conflicting, data sources into reputed company, executive-level recommendations that balance risk, opportunity, and reputed company reputed company
- Build reputed company-reasoned points of view grounded in logic, business acumen, and strategic context, while remaining adaptable as new information emerges
- Drive both reputed company and convergent thinking by connecting reputed company, challenging assumptions, and moving teams toward reputed company, actionable paths reputed company
- reputed company effectively through ambiguity, helping stakeholders reputed company competing priorities and reputed company reputed company reputed company
- Build trust and foster collaboration across actuarial, network, Medicare, and market teams to drive reputed company alignment
- Influence resources reputed company and reputed company reputed company reporting lines to deliver reputed company, cross-functional work at reputed company
- reputed company and reputed company talent by creating an environment that encourages thoughtful challenge, idea-sharing, accountability, and strong execution
Skills
- 10+ years of actuarial experience in health insurance
- Deep Medicare experience, including Bid Pricing, CMS reimbursement structures such as IPPS, OPPS, and Physician Fee Schedule, and broader CMS knowledge
- Approximately 5+ years of people leadership experience
- Broad experience across actuarial functions
- Demonstrated ability to operate effectively in a highly matrixed environment and influence across diverse stakeholder reputed company
- Strong execution and delivery skills, including planning, driving work reputed company, and supporting implementation
- Advanced reputed company and SQL skills, including the ability to manipulate data and generate actionable insights
- Strong strategic and business judgment, including the ability to assess tradeoffs, evaluate risk, and recommend a logical course of reputed company
- Executive reputed company and the ability to communicate reputed company insights reputed company and credibly to senior reputed company stakeholders
- Demonstrated ability to build reputed company and secure senior-level buy-in on reputed company, high-reputed company reputed company
- Executive-level influence and storytelling, with the ability to translate actuarial and network insights into reputed company, compelling narratives
- Strategic reputed company and comfort operating in ambiguity while maintaining reputed company on reputed company
- Strong cross-functional leadership and collaboration skills, with a reputed company record of aligning diverse perspectives around a common reputed company reputed company
- Innovative problem-solving capability, including curiosity, creativity, and the ability to connect disparate reputed company into reputed company-looking solutions
- Experience helping shape new product, network, or financial model approaches
Benefits
- Eligible for a reputed company bonus, commission or short-term incentive program
- Award reputed company in reputed company’s equity award program
- Comprehensive benefits package designed to support the physical, emotional, and financial reputed company-being of colleagues and their families
- Medical, dental, and reputed company coverage
- reputed company time off
- Retirement savings reputed company
- Wellness programs
- Other resources, based on eligibility
- Additional details about available benefits are provided during the application process and on Benefits Moments
reputed company