Central Director, Actuarial Services - Austin, United States - agilon health

Description

Central Director, Actuarial Services page is loaded Central Director, Actuarial Services Apply locations Remote - USA time type Full time posted on Posted 2 Days Ago job requisition id R002977 Company : AHI agilon health, inc


Job Posting Location :
Remote - USA Job Title : Central Director of Actuarial Services Job Description :

Position Summary:

The remote Central Director of Actuarial Services will lead a team of managers responsible for centralized actuarial functions and modeling.

He/she will first help to build up improved centralized reserving/medical margin models for the market actuarial teams use.

Then, the Central Director of Actuarial Services will oversee reserve setting at the national MA payer level as well as oversee market level RAF projections.

He/she will provide guidance on the projection of ACO medical margin estimates and report drivers of prior period development to senior leadership.

All of this will be done with the mindset of continued improvement of processes and coordination across the actuarial team.

Essential Job Functions:
Lead a team of managers responsible for centralized actuarial functions/modelsOversee reserve setting for membership belonging to national Medicare Advantage payersReview ACO medical margin estimatesReview and advise on RAF accrual estimates; including modeling and data inputsStay apprised of CMS changes to ACO program and risk adjustment regulationsReport drivers of prior period development to Chief Actuary and other senior leadersSupport build-out of improved actuarial team processes/modelsLead connection with Market Actuarial Director and team to educate on centralized model/assumption changesAdvise on internal/external audit documentation changes

Other Job Functions:
Grow and lead talentExemplify companies core valuesCollaborate with Market Finance, FP&A, Accounting, Med Econ, and others

Required Qualifications:
Minimum Experience8+ years of actuarial experienceDemonstrated leadership capability, has previously led sizeable staffExperience in leading other managersEducation/LicensureASA or FSA designationBachelors degree in Actuarial Science, Math, Economics or related fieldKnowledge, Skills, and Abilities:Excellent communication, both written and verbalStrong understanding of Medicare Advantage and bidding process (Part D knowledge is a plus)

Understanding of MA health plan data (Claims, MMR, MAO-04, etc.)Experience with reserving and risk adjustment modelingExperience with value-based arrangementsProficiency with Excel and SQLProven ability to work in a fast-paced environment where internal/external client satisfaction is keyExperience interacting with senior leadershipProven problem solving skills (identification of issue, causes, solution, implementation plan)Proven ability to influence, grow, and motivate othersEntrepreneurial and innovative spiritLocation :
Austin, TX Pay Range : $153, $191,300.00 Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.
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• USA time type Full time posted on Posted 5 Days AgoThe passion to change the way healthcare is delivered permeates everyone and everything at agilon health .

Working together we can use our expertise to make a difference in the lives of patients and physicians alike.

We can bring the joy back to practicing medicine for physicians and improve the care experience for patients across the country.

Equal Opportunity Employer agilon health is committed to excellence through diversity.

We are an equal opportunity employer and we will not discriminate against employees or qualified applicants for employment regardless of race; color; religion; genetic information; national origin; sex; pregnancy, childbirth, or related medical conditions; age; disability; citizenship status; uniform service member status; or any other protected class under federal, state, or local law.

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