Vice President, Actuary
Description
Company Background
Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.
Position Summary:
The Vice President, Actuary will position Healthmap Solutions as an innovative and market leading company for analytic and reporting packages for population health management. Oversees work related to actuarial functions, financial performance of customer contracts, and client negotiations. Predicts future risks and helps the company create policies and make price decisions. Ensures that such plans are maintained on a financially sound basis. Provide data analytics and modeling. Drive insights into financial performance with recommended remediation plans. Adapt to changing priorities in a fast growing organization. Report results to C-Suite management and external clients where appropriate.
The Vice President, Actuary will position Healthmap Solutions as an innovative and market leading company for analytic and reporting packages for population health management. Oversees work related to actuarial functions, financial performance of customer contracts, and client negotiations. Predicts future risks and helps the company create policies and make price decisions. Ensures that such plans are maintained on a financially sound basis. Provide data analytics and modeling. Drive insights into financial performance with recommended remediation plans. Adapt to changing priorities in a fast growing organization. Report results to C-Suite management and external clients where appropriate.
Responsibilities:
- Responsible for pricing, valuation, medical economics and risk analyses in order to drive cost savings for clients
- Analyze customer data to provide insights on overall performance, define targets for KPIs, and track progress against targets
- Lead quarterly and annual financial reconciliations with clients
- Responsible for developing policies, practices, and procedures that have a significant impact on organizational decisions
- Lead and direct the work of other employees including hiring, performance management, and coaching
- Manage and enhance healthcare tools, savings methodologies and reporting that drive insights
- Collaborate with other members of the executive management team to align departmental strategy or direction with the overall goals of the organization
- Make decisions on moderately complex to complex issues regarding technical approach and work is performed with minimal or no direction
- Develop IBNR estimates, enhance pricing and underwriting models
Compile, organize, categorize, and analyze large data sets using SQL - Collaborate with various internal and external stakeholders to identify, troubleshoot, and resolve business problems
- Work with various cross-functional teams including sales, data sciences, product development, and clinical services
- Collaborate closely with executive leadership to align actuarial initiatives with the company's strategic goals.
- Serve as the primary actuarial liaison with client health economics and actuarial teams.
- Present and coordinate analyses, findings, and recommendations to ensure client alignment with forecasts and assessments.
- Oversee the development, validation, and maintenance of value and savings methodologies.
- Well organized to hit timely deliverables
- Provide actuarial analysis around trend and expected outcomes
- Perform other related duties as assigned
Requirements:
- Bachelor’s degree in health informatics, statistics, mathematics, finance, or related studies is required; Master’s degree is preferred
- 10+ years of experience working in health care analytics is required with at least 5 years of experience in the clinical or managed care setting that is patient focused
- Experience in population health and an knowledge of medical claims
- An ASA or FSA designation is preferred
- Has a proven track record of leading a highly skilled team that drive results
Skills:
- Strong skills in collaborative working relationship with the team and stakeholders
- Strong analytical, problem-solving, and business skills to extract implicit, unstated, and unrecognized requirements
- Excellent verbal, written communication and presentation skills
- Strong analytical and strategic skills required
Metrics driven - Ability to manage multiple priorities and projects
- Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint
- Demonstrate proactive service skills and effective stakeholder management
- Self-starter with innate desire to learn
Travel:
- Limited Travel, scheduled per needs of the business
#LI-Remote
Americans with Disability Specifications
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.