We are a global organization dedicated to enhancing healthcare outcomes through innovative technology and compassionate care. Our mission is to empower millions of individuals to lead healthier lives by connecting them with essential care, pharmacy benefits, data insights, and resources. Embracing diversity and inclusion, we foster a culture that values talented individuals, offers comprehensive benefits, and prioritizes career development opportunities. Join us in making a meaningful impact on communities worldwide as we advance health equity on a global scale.
Position Overview
The Senior Vice President of Actuarial and Healthcare Economics leads a diverse team of actuaries, statisticians, analysts, and healthcare experts focused on risk management, data analysis, and financial strategy to support our healthcare businesses. This pivotal role plays a crucial part in achieving organizational objectives through strategic reserving, medical expense forecasting, identifying cost management opportunities, and evaluating healthcare affordability initiatives. The leader will collaborate closely with stakeholders to communicate financial and clinical performance effectively.
Location:
This position offers the flexibility to work remotely from anywhere within the U.S.
Primary Responsibilities
Drive the organization's analytics strategy, leveraging claims and clinical data to develop population health and medical expense affordability analytics.
Provide strategic guidance through clinical, network, and financial analysis, consulting, and reporting across various business functions.
Lead a complex organization specializing in healthcare economics, risk management, data management, and network strategy.
Partner with business leadership to gain insights and optimize analytic capabilities to meet business objectives.
Oversee monthly medical expense forecasts, reserving, pricing trends, and evaluation of healthcare affordability initiatives.
Foster strong relationships with key stakeholders across business, finance, clinical, network, affordability, and product teams.
Required Qualifications
Bachelor's degree in a relevant field.
Over 15 years of experience in Actuarial and Healthcare Economics, with 10+ years in senior management roles.
Strong executive presence with the ability to communicate effectively with senior executives.
Proven track record in managing complex actuarial tasks with significant financial and risk implications.
Expertise in medical cost reserving, trend analysis, and medical expense forecasting.
Experience collaborating with non-actuarial teams such as underwriting, clinical, finance, network, and product teams.
Deep understanding of the healthcare industry within a complex organizational structure.
Excellent communication skills with the ability to present complex information to senior management.
FSA designation preferred.
Benefits
In addition to a competitive salary, benefits include a comprehensive package, incentive programs, equity stock purchase options, and 401k contributions (subject to eligibility). We are committed to offering a supportive environment that challenges you to succeed in your role and provides development opportunities for future career growth.
Diversity And Inclusion
We are an Equal Employment Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Join Us
If you are passionate about advancing healthcare outcomes and thrive in a collaborative, innovative environment, we invite you to apply. Together, we can make a difference in healthcare and improve the lives of millions.
Employment Type: Full-Time
Seniority level
Executive
Employment type
Full-time
Job function
Other
Industries
Human Resources Services
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