athenahealth logo
athenahealth

We provide network-enabled services, mobile apps, and data-driven insights to hospitals and medical organizations.

Director, Actuarial Analytics – Healthcare Utilization & Revenue Forecasting

ActuaryActuaryFull TimeRemoteLeadTeam 5,001-10,000Since 1997H1B SponsorCompany SiteLinkedIn

Location

Massachusetts + 2 moreAll locations: Massachusetts, Texas, Vermont

Posted

147 days ago

Salary

Not specified

Seniority

Lead

Bachelor Degree8 yrs expEnglishSQLTableau

Job Description

• Develop and lead actuarial forecasting models for utilization, revenue, and cost across products and lines of business • Manage pricing analyses and rate-setting workstreams for government (Medicare, Medicaid) contracts and commercial payer models • Analyze utilization trends and identify drivers to inform financial projections and strategic recommendations • Build and maintain financial models and dashboards to support monthly/quarterly forecasting and executive reporting • Collaborate with sales, product, and operations to evaluate contract economics, renewals, and new business opportunities • Mentor and review work from actuarial and analytics staff, ensuring methodological rigor and quality control • Present findings and recommendations to senior finance and business leaders to support strategic decision-making • Support development of actuarial documentation and knowledge sharing across the finance organization • Support ad hoc actuarial analyses for M&A, strategic investments, or special projects as requested • Contribute to process improvements in forecasting, pricing, and reporting workflows • Partner with regulatory and compliance teams on modeling assumptions related to reimbursement and policy changes • Prepare documentation and assumptions for audit and external reporting needs • Participate in vendor and third-party model evaluations and oversight

Job Requirements

  • Bachelor’s degree in Actuarial Science, Statistics, Mathematics, or related field (Master’s preferred)
  • Associate or Fellow of the Society of Actuaries (ASA or FSA)
  • 8+ years of experience in healthcare actuarial roles, with deep expertise in forecasting, pricing, and utilization analysis
  • Experience with government healthcare contracts (Medicare, Medicaid) and commercial payer models
  • Advanced proficiency in Excel, SQL, SAS, and other analytical tools; experience with data visualization platforms (e.g., Power BI, Tableau) preferred
  • Strong communication skills, with the ability to present complex analyses to non-technical audiences
  • Demonstrated leadership in managing projects and mentoring teams
  • Creative problem-solving skills and intellectual curiosity; ability to thrive in a fast-paced, evolving environment
  • Experience with value-based contracting and risk adjustment analytics
  • Prior consulting experience or exposure to multiple payer environments preferred
  • Proven ability to integrate actuarial standards with business strategy and operational goals preferred

Benefits

  • Health insurance
  • Retirement plans
  • Paid time off
  • Flexible working arrangements
  • Professional development
  • Employee assistance programs
  • Tuition assistance
  • Commuter support
  • Collaborative workspaces

Related Categories

Related Job Pages

More Actuary Jobs

Full TimeRemoteTeam 1,001-5,000Since 1979H1B No Sponsor

Senior Managing Actuary leading ALM, duration and hedging at CNO Financial Group

VBA
Alabama + 4 moreAll locations: Alabama, Florida, Illinois, Ohio, Wisconsin
$170.2K - $255.2K / year
Protective Life logo

Associate Actuary, Capital Planning

Protective Life

We are on a mission to help more people achieve the sense of protection and security they deserve.

Actuary168 days ago
Full TimeRemoteTeam 1,001-5,000Since 1908H1B Sponsor

Capital Planning Actuary at Protective shaping BSCR and RBC capital strategy

Alabama
$94K - $120K / year
Arbital Health logo

Senior Actuary, Consulting Practice

Arbital Health

We are a neutral third-party adjudication utility that is accelerating the $1 trillion shift to value-based care

Actuary169 days ago
Full TimeRemoteTeam 1-10Since 2023H1B No Sponsor

Consulting Actuary at Arbital Health leading actuarial projects for value-based care.

Python
United States
$150K - $220K / year
Brown & Brown Insurance logo

Lead Actuary, Alternative Risk Transfer

Brown & Brown Insurance

As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself.”

Actuary172 days ago
Full TimeRemoteTeam 10,001+Since 1939H1B No Sponsor

Lead Actuary building ART pricing and modeling for Nexus Specialty (insurance brokerage)

New Jersey
$200K / year