Selby Jennings · 2 weeks ago
Actuarial Director, Risk Adjustment
United States
Full-time
Remote
Senior Level, Lead/Staff
8+ years expSelby Jennings is a leading healthcare organization seeking an Actuarial Director, Risk Adjustment to guide a high-performing team. This role focuses on improving the accuracy, performance, and financial impact of risk and quality programs across Medicare, Medicaid, and ACA lines of business.
BankingEmploymentRecruiting
Hiring Manager
Kristyn Conrad
Responsibilities
End‑to‑end risk score modeling, forecasting, and trend analysis
Coding gap identification, benchmarking, and opportunity targeting
Evaluation of in‑home assessments, chart review, and point‑of‑care initiatives
Development of dashboards and reporting that translate analytics into action
Financial impact modeling to support budgeting, pricing, and forecasting
Collaboration with provider teams to assess and improve performance
Support for regulatory and internal audits (RADV, OIG, etc.)
Leadership of a growing analytics team, including coaching, hiring, and performance management
Qualification
Required
8+ years of relevant actuarial & analytics experience, including 3+ years managing people
Strong risk adjustment experience (Medicare required)
ASA/FSA designation
Expertise in statistical methods, modeling, and performance measurement
Proficiency with SAS and/or cloud analytics tools; strong database skills
Ability to break down complex problems, validate data, and drive insights
Clear, confident communication with executive‑level stakeholders
Strength leading in a fast‑moving, matrixed environment
Company
Selby Jennings
Global recruitment firm specialising in Banking
1001-5000 employees
Funding
Current Stage
Late StageRecent News
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2025-09-30
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2025-05-03
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