selby jenningsTallahassee, FL
Senior Vice President, VBC Actuary
Senior Vice President, VBC Actuary
Senior Vice President, VBC Actuary
selby jenningsTallahassee, FL
3 days ago
Direct Health and Medical Insurance CarriersDirect Life Insurance CarriersAll Other Insurance Related Activities
Apply for this role (opens in a new tab)Confidential Search: We're partnering with a growing healthcare organization seeking a senior actuarial leader to help shape and scale innovative value-based care programs. This is not a traditional actuarial role. The successful candidate will serve as a strategic business leader, using their actuarial expertise to influence program design, growth strategy, risk arrangements, and external health plan partnerships.
Key responsibilities:
- Lead the design, pricing, risk assessment, and negotiation of value-based care programs
- Develop financial models and strategies that demonstrate clinical and economic value
- Partner closely with clinical, operational, finance, provider network, and growth leaders
- Lead conversations and negotiations with health plans, including actuarial, sales, and business stakeholders
- Evaluate program performance, utilization, cost trends, reserves, accruals, and financial risk
- Build and lead the Medical Economics function
- Translate complex actuarial analysis into actionable business and growth strategies
- Help shape the organization's broader value-based care strategy and market expansion
Ideal background:
- FSA and MAAA15+ years of progressive actuarial and managed care experience
- Deep, hands-on experience designing and managing value-based care reimbursement and risk models
- Strong executive presence and ability to operate as a strategic leader with actuarial expertise
- Experience working across clinical, provider, operational, financial, and commercial teams
- Comfortable operating in a fast-paced, high-growth environment
Also on the board Same function, level within a rung
Level
Manager
Location
Tallahassee, FL
Occupation
Actuaries
Industry
Direct Health and Medical Insurance Carriers
Posted
3 days ago