acturhireDenver, CO
Director, Actuarial & Performance Guarantees
$205,000 - $215,000 per year
Apply (opens in a new tab)Director, Actuarial & Performance Guarantees
Director, Actuarial & Performance Guarantees
acturhireDenver, CO
today
$205,000 - $215,000 per year
Direct Health and Medical Insurance CarriersDirect Life Insurance CarriersAll Other Insurance Related Activities
Apply for this role (opens in a new tab)Director-Level Us Health Actuarial Role Pricing partner on live health deals. Closer to a live-deal pricing partner than a capital or reserving role, because the deciding work is guarantee negotiation and commercial structuring. Director-level US Health actuarial role focused on Medicare Advantage performance guarantees, pricing, and value-based contracting. You will design and price guarantee structures, validate savings cases, negotiate actuarial terms, oversee settlement, and support ASC 606 forecasting. The role is remote, based in the U.S., with a listed salary of $205,000-$215,000.
Requirements:
- Must HaveFSA and MAAA required
- Direct Medicare Advantage actuarial experience with knowledge of MA bid process, CMS-HCC risk adjustment, Star Ratings, MLR, and supplemental benefits
- Authorization to work in the U.S. without sponsorship
- Strongly Preferred 8+ years of health actuarial experience including 3+ years designing, pricing, or reconciling performance guarantees
- Proven experience shaping deal structures and negotiating actuarial terms with health plans, employers, or consultants, and defending business cases under external review
- Experience partnering with Accounting on revenue recognition, accruals, or reserving for at-risk arrangements
- Familiarity with ASC 606 variable consideration
- Strong grounding in claims-based savings measurement, risk adjustment, and comparison group methods (difference-in-differences, matched cohorts)
- Advanced SQL skills
- Proficiency in R or Python
- Ability to work directly in a modern data warehouse
- Ability to translate complex actuarial findings to non-technical audiences
- Skills & DomainDomain Medicare Advantage actuarial experience Performance guarantee design and pricing Claims-based savings measurement Risk adjustment and comparison group methods
Also on the board Same function, level within a rung
Level
Manager
Salary
$205,000 - $215,000 per year
Location
Denver, CO
Occupation
Actuaries
Industry
Direct Health and Medical Insurance Carriers
Posted
today