Director, Actuarial Services

Hello Heart

. Partner with Sales, Consultant Relations, and Customer Success to strengthen proposals and communicate Hello Heart's economic value .

Posted 11/3/2026full-timeRemote • United StatesLead💰 $200,000 - $225,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in actuarial principles, healthcare economics, and financial analysis, with a strong ability to communicate complex findings to diverse stakeholders. Proficient in analyzing large datasets and developing risk-based pricing models to drive strategic decision-making in healthcare.

Highest-signal resume keywords

Actuarial ExperienceHealthcare EconomicsStatistical MethodologiesR ProgrammingAssociate of the Society of Actuaries (ASA)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Actuarial PrinciplesFinancial AnalysisRisk AssessmentHealthcare Utilization AnalysisCost Savings StudiesPerformance GuaranteesRisk-Based Pricing ModelsStatistical MethodologiesData AnalysisHealthcare Quality Metrics

Soft Skills

Strong Communication SkillsInfluencing StakeholdersManaging Competing PrioritiesDriving High-Impact Initiatives

Tools & Technologies

Artificial Intelligence ToolsData Analysis Software

Certifications & Qualifications

Associate of the Society of Actuaries (ASA)Fellow of the Society of Actuaries (FSA)

Industry Keywords

HealthcareHealth InsuranceMedicare AdvantageCost SavingsFinancial OutcomesMarket DynamicsReimbursement ModelsHealthcare Quality Metrics

About the role

Key responsibilities & impact

Partner with Sales, Consultant Relations, and Customer Success to strengthen proposals and communicate Hello Heart's economic value
Join client and consultant calls, performance reviews, and renewal value conversations as a client-facing actuarial expert
Advocate for sound actuarial practices, appropriate methodologies, and effective analytical processes
Provide strategic guidance on healthcare economics, financial outcomes, pricing, and market opportunities
Lead health economic studies, cost savings analyses, and outcomes research
Analyze medical claims, pharmacy claims, and other large datasets to evaluate utilization, medication adherence, costs, and financial outcomes
Develop and maintain performance guarantee offerings, assess financial risks, oversee reserves, and educate internal stakeholders
Develop risk-based pricing approaches and support value-based contracting and specialty incentive opportunities
Present actuarial and health economic findings to customers, consultants, payers, industry audiences, and conferences
Serve as primary actuarial contact for independent cost savings studies, research collaborations, and external analyses
Evaluate clinical and financial impacts of new products and services and provide actuarial input into strategic planning
Develop executive-ready presentations, research materials, and publications
Track healthcare market dynamics, competitor trends, Medicare Advantage quality measures, and emerging reimbursement models

Requirements

What you’ll need

7+ years of actuarial experience within healthcare, health insurance, or a related healthcare organization, including health economic and financial analyses
Client-facing or sales-support experience, such as consulting or startup experience
Deep knowledge of actuarial principles, healthcare economics, risk assessment, and statistical methodologies
Proficiency in R
Experience analyzing large medical and pharmacy claims datasets, including paid and allowed amounts, healthcare utilization, and medication adherence measures
Ability to leverage artificial intelligence tools and agents for research, analysis, reporting, and complex workflows while evaluating outputs for accuracy and reliability
Bachelor's degree in Mathematics, Statistics, Economics, Actuarial Science, or a related field
Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) credential
Experience developing or evaluating healthcare cost savings studies, financial outcomes research, performance guarantees, and risk-based pricing models
Understanding of risk adjustment, Medicare Advantage Star Ratings, healthcare quality metrics, and related audit processes
Strong written and verbal communication skills
Ability to influence cross-functional stakeholders, manage competing priorities, and independently drive high-impact initiatives
Willingness to travel up to 20% of the time

Benefits

Comp & perks

Annual salary and bonus compensation
Positive, diverse, and supportive culture
Collaborative, creative, and courageous work environment