Senior Director of Actuarial Services

Job Summary

A company is looking for a Senior Director, Actuary to develop and maintain advanced forecast models for risk adjustment and medical claims planning.

Key Responsibilities

• Develop predictive models for risk adjustment scores and support forecasting processes
• Design actuarial models for estimating IBNR liabilities and monitor reserves
• Analyze medical claims data to identify cost drivers and improve forecasting accuracy

Required Qualifications

• 7-10+ years of experience in actuarial analysis or related roles in healthcare
• Strong analytical skills for developing and optimizing predictive models
• Understanding of Medicare Advantage risk adjustment and IBNR methodologies
• Ability to lead cross-functional collaboration
• Actuarial credentials or progress toward certification is preferred but not required