athenahealth · 6 hours ago
Director, Actuarial Analytics – Healthcare Utilization & Revenue Forecasting
Boston, MA
Full-time
Hybrid
Director/Executive
$187K/yr - $319K/yr
8+ years expathenahealth is dedicated to creating a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. The Director of Actuarial Analytics will lead the development and execution of advanced actuarial models to forecast healthcare utilization, evaluate trends, and assist in projecting revenue, providing strategic insights to executive leadership.
Enterprise SoftwareHealth CareInformation TechnologyMedical
Responsibilities
Develop and lead actuarial forecasting models for utilization, revenue, and cost across products and lines of business
Manage pricing analyses and rate-setting workstreams for government (Medicare, Medicaid) contracts and commercial payer models
Analyze utilization trends and identify drivers to inform financial projections and strategic recommendations
Build and maintain financial models and dashboards to support monthly/quarterly forecasting and executive reporting
Collaborate with sales, product, and operations to evaluate contract economics, renewals, and new business opportunities
Mentor and review work from actuarial and analytics staff, ensuring methodological rigor and quality control
Present findings and recommendations to senior finance and business leaders to support strategic decision-making
Support development of actuarial documentation and knowledge sharing across the finance organization
Support ad hoc actuarial analyses for M&A, strategic investments, or special projects as requested
Contribute to process improvements in forecasting, pricing, and reporting workflows
Partner with regulatory and compliance teams on modeling assumptions related to reimbursement and policy changes
Prepare documentation and assumptions for audit and external reporting needs
Participate in vendor and third-party model evaluations and oversight
Qualification
Required
Bachelor's degree in Actuarial Science, Statistics, Mathematics, or related field (Master's preferred)
Associate or Fellow of the Society of Actuaries (ASA or FSA)
8+ years of experience in healthcare actuarial roles, with deep expertise in forecasting, pricing, and utilization analysis
Experience with government healthcare contracts (Medicare, Medicaid) and commercial payer models
Advanced proficiency in Excel, SQL, SAS, and other analytical tools; experience with data visualization platforms (e.g., Power BI, Tableau) preferred
Strong communication skills, with the ability to present complex analyses to non-technical audiences
Demonstrated leadership in managing projects and mentoring teams
Creative problem-solving skills and intellectual curiosity; ability to thrive in a fast-paced, evolving environment
Experience with value-based contracting and risk adjustment analytics
Preferred
Prior consulting experience or exposure to multiple payer environments
Proven ability to integrate actuarial standards with business strategy and operational goals
Benefits
Commuter support
Employee assistance programs
Tuition assistance
Employee resource groups
Collaborative workspaces
Flexibility
Company
athenahealth
Athenahealth is a provider of medical practice automation and claims management software to medical groups and health systems.
5001-10000 employees
H1B Sponsorship
athenahealth has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (64)
2024 (84)
2023 (62)
2022 (109)
2021 (84)
2020 (74)
Funding
Current Stage
Public CompanyTotal Funding
$40MKey Investors
Venrock
2021-11-22Acquired
2017-05-18Post Ipo Equity
2007-09-20IPO
Leadership Team
Eddie Ross
Vice President, Payer
Anil Patil
Executive Director Engineering
Recent News
HealthCareIT News
2025-12-30
2025-12-19
Company data provided by crunchbase