Vice President, Commercial Actuary
Hello Heart
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $290,000 - $310,000 per year
Job Level
About the role
- Serve as the actuarial subject matter expert in client meetings, consultant engagements, conferences, and industry speaking opportunities.
- Lead the development of health economic and outcomes research, including analyses, studies, and presentation materials for external stakeholders and potential publication.
- Analyze large healthcare datasets including medical and pharmacy claims to quantify clinical and financial impact.
- Lead the design and management of performance guarantees, including reserving strategy and internal education for commercial teams.
- Support value-based contracting and specialty incentive programs through actuarial modeling and financial analysis.
- Act as the primary point of contact for external cost savings studies conducted with consultants or strategic partners.
- Support new product launches through modeling of expected clinical outcomes and financial impact.
- Identify and evaluate market opportunities where actuarial insights can strengthen Hello Heart’s positioning.
- Partner with Medical Affairs and other internal teams on strategic planning and evidence development.
- Communicate complex statistical findings clearly to executives, clients, consultants, and industry audiences.
- Track healthcare industry trends, competitor positioning, and regulatory developments relevant to actuarial analysis.
- Represent actuarial perspectives in cross-functional decision making and external forums.
Requirements
- 5+ years of actuarial experience within a healthcare organization, health plan, or related healthcare services environment
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) certification
- Experience analyzing healthcare datasets including medical claims, pharmacy claims, and population health data
- Strong analytical, communication, and presentation skills with the ability to clearly explain complex analyses to large audiences
- Experience developing health economic analyses, actuarial models, or outcomes research to support commercial healthcare products
- Understanding of Medicare Advantage Star Ratings, healthcare quality metrics, and associated audit processes
- Experience collaborating cross functionally with commercial, clinical, and data teams
- Ability to operate independently in a fast paced, high growth environment while managing multiple priorities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
actuarial modelinghealth economic analysesdata analysisfinancial analysisperformance guaranteeshealthcare datasetsclinical outcomes modelingpopulation health datareserving strategyvalue-based contracting
Soft Skills
analytical skillscommunication skillspresentation skillscross-functional collaborationindependent operationstrategic planningcomplex problem solvingtime managementstakeholder engagementeducational support
Certifications
Associate of the Society of Actuaries (ASA)Fellow of the Society of Actuaries (FSA)