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Aledade, Inc. · 1 day ago

Chief Actuary, Remote

United States

Full-time

Remote

Director/Executive

15+ years exp

Aledade, Inc. is a public benefit corporation focused on empowering independent primary care. The Chief Actuary will lead the actuarial function, overseeing forecasting, reserving, and contracting, while also promoting a culture of collaboration and mentorship within the team.

Health CareMedicalPrimary and Urgent CareWellness

Comp. & Benefits

Responsibilities

Provide visionary leadership for and management of the actuary team, including forming close partnerships with the six main teams (Strategy Payer Partners, Finance, Performance, Policy, Aledade+, and the other parts of Analytics) to support other duties

Lead Aledade’s Forecasting efforts, including working with Finance, Performance, Policy and other Analytics teams. Actuary team will lead the “future years forecasting” (with support from Performance and Finance). Actuary team will support Performance (and Finance) teams for the “within year” forecast

Lead the Reserving strategy and operations, including actuarial renegotiations with health plans, as needed, including performing the analysis underlying these negotiations. Recommend to CFO the least costly way to meet these reserve requirements, given health plan requirements and the financial forecast

Lead the analytics to support the company’s Contracting function, as described above. Will support the Strategic Payer Partnership team, which leads payer contracting. Under the overall guidance of the Strategic Payer Partnership team, the chief actuary will model different potential contract terms, advise the Strategic Payer Partnership team on overall negotiations, and lead actuarial negotiations with health plans. Once a contract is signed, the chief actuary and their team will lead actuarial negotiations with health plans during the reconciliation process

Lead the Benchmarking / market intelligence function, including translating market trends into actionable business insights

Create the Medical Economics Unit, including thinking carefully about how to use existing resources in Finance, Analytics, and Aledade+ to support the goals of the Medical Economics Unit. Two examples: (i) Understanding and projecting the impact of new prescription drug classes on Medicare Advantage spending. (ii) Imagine Aledade is scaling a pilot across its full population, the chief actuary will be responsible for projecting the pilot results across Aledade’s patient population. Finally, the Medical Economics Unit could play a key role in explaining Aledade’s performance to investors

Qualification

Actuarial leadershipStatistical analysisPredictive modelingFellowship-Level CertificationHealthcare programs knowledgeData visualizationNegotiation skillsCollaboration skillsPassion for value-based careMarket intelligenceData manipulationCommunication skillsTeam mentoring

Required

Proven experience as an actuarial leader in a healthcare setting, with a proven record of leading and motivating actuarial teams and 15+ years of relevant education + work experience

Deep familiarity with government healthcare programs and policies, particularly Medicare, Medicare Advantage, Medicaid, and the Affordable Care Act

Exceptional ability to communicate (oral, written) complex actuarial concepts and engage with various stakeholders, including health plan partners, other leaders at Aledade, and potential investors

Experience leading negotiations for multi-million dollar contracts

A strong record of collaboration at the executive level with other leaders, including working with colleagues on complicated, multi-group initiatives

Strong quantitative skills, including experience with statistical analysis and predictive modeling in healthcare contexts. Deep experience with Excel, Tableau, and other similar tools

Fellowship-Level Certification from the Society of Actuaries, or other similar credential

Experience leading actuarial or similar function at an organization that is 'at risk' for the cost of medical care, such as an 'at risk' provider system, payer, or contractor

Preferred

Data manipulation skills, including working knowledge of SQL, R, and/or SAS programming

Relevant experience leading teams performing some or all of the key duties, listed above (forecasting, reserving, contracting, benchmarking, and creating the medical economics unit)

Experience with healthcare data (e.g. claims, EHR, clinical)

Experience analyzing data and communicating results in data visualizations, dashboards, and reports for a wide variety of audiences (company/ACO executives, internal staff, physicians, etc.)

Passionate about driving the shift from fee-for-service to value-based care

Benefits

Flexible work schedules and the ability to work remotely are available for many roles

Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners

Robust time-off plan (21 days of PTO in your first year)

Two paid volunteer days and 11 paid holidays

12 weeks paid parental leave for all new parents

Six weeks paid sabbatical after six years of service

Educational Assistant Program and Clinical Employee Reimbursement Program

401(k) with up to 4% match

Stock options

And much more!

Company

Aledade, Inc.

Glassdoor3.9

Aledade is the largest network of independent primary care, enabling clinicians to deliver better patient outcomes and generate more savings revenue through value-based care.

Founded in 2014

Bethesda, Maryland, USA

1001-5000 employees