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Hello Heart

Empowering people to understand and improve their heart health using technology and behavioral science.

Vice President, Commercial Actuary

ActuaryActuaryFull TimeRemoteLeadTeam 51-200Since 2013H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

2 days ago

Salary

$290K - $310K / year

Seniority

Lead

Postgraduate Degree5 yrs expEnglish

Job Description

• 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.

Job 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

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