Actuarial Services Director jobs in Tennessee

Actuarial Services Director directs the activities of an organization's actuarial function. Develops mathematical analyses and financial principles to solve insurance problems. Being an Actuarial Services Director calculates premiums, designs insurance plans, creates probability charts and may aid in the calculation of necessary funds to ensure future payments of benefits. Advises management in the determination of major rating assumptions. Additionally, Actuarial Services Director requires a bachelor's degree. Typically reports to top management. May require ASA or FSA designation. The Actuarial Services Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be an Actuarial Services Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

W
Sr. Director, Actuarial
  • Wellvana
  • Nashville, TN FULL_TIME
  • Description

    The healthcare system isn’t designed for health. We’re designed to change that.  
     

    We’re Wellvana, and we help doctors deliver life-changing healthcare.
     

    Through our high-touch approach to value-based care, we're moving beyond fee-for-service and helping tie the healthy outcomes of patients directly to healthier profitability for primary care physicians, payors and health systems.
     

    Physicians and health systems in our curated network retain full ownership while Wellvana takes on all the upfront risk, investing capital, people-power and customized medical management strategy to help each provider flourish on their path to full-risk value-based care. 

    We provide turnkey support to clinicians to reduce their administrative headaches and help them spend more time with patients. Patients, in turn, get an elevated experience with coordinated care that is nothing short of life changing.  
     

    Named a Best Place to Work by Nashville Business Journal and featured in Insider’s 33 startups “investors expect to take off in 2023,” we’re one of the fastest-growing companies in America because what we do works.

    This is the way medicine is meant to be.


    Clarity on the Role:


    The Senior Director, Actuarial, will provide leadership and work closely with Wellvana’s analytics team in the development of value-based care insights supporting our vision, strategic direction and performance. Scope of duties will include but not be limited to medical and pharmacy expense analyses, pre-sales analytics, underwriting, actuarial forecasting, and population health management analyses. This role consults and collaborates with senior management regarding financial results, forecasting, and performance management. This position will be key in helping the business meet financial and key objectives by identifying and quantifying opportunities and risks, through key root-cause analyses, and providing recommendations. The role will need to be able to successfully work within a complex but nimble environment. This position will work closely with and report to the Chief Actuary.


    What's Expected:

    • Execute on the strategy and manage the activities of actuarial activities, medical and pharmacy data collection and analysis, and trend analytics
    • Be a subject matter expert in Medicare Advantage and Federal ACOs, e.g., ACO Reach
    • Identify and design analytics to uncover critical business insights that facilitate improved business decisions for senior leadership; analytics may include actuarial, HCE and/or data science related solutions
    • Present findings in clear, compelling manner to senior leadership to provide information needed supporting decision-making
    • Measure and project savings for new and existing affordability initiatives and recommend new initiatives in collaboration with clinical leadership 
    • Quantify impact of policy reform, population shifts, etc. on existing products and customer arrangements
    • Project medical expense for forecasting purposes and monitor variance to budget
    • Serve as resource to senior and executive management
    • Prepare and provide supporting documentation for actuarial liabilities included in the company’s financial statements
    • Develop strong teams, create strong morale and spirit; foster open dialogue; define success in terms of the whole team.
    • Communicate results, findings, and recommendations to the organization through multiple layers of management and all levels of professional staff
    • Demonstrate understanding of applicable laws and regulations as well as the actuarial code of conduct and actuarial standards of practice
    • Ability to lead and manage actuarial resources 
    • Bring in right team, drive employee engagement and foster teamwork and collaboration

    Requirements

    • Integrity: The right way is the only way. 
    • Dependability: You do what you say you’re going to do. 
    • Advocacy: You fight for the best possible outcome for providers and their patients. 
    • Clarity: You make it all understandable. 
    • Bachelor’s degree
    • ASA
    • 8 years of actuarial experience
    • 8 years direct experience with healthcare data and analytics
    • 4 years of leadership experience in management of various levels of staff;      dynamic consultative style
    • Extensive knowledge of Medicare healthcare industry and trends; medical, pharmacy/Part D, SDoH, behavioral health experience especially valuable
    • Superior conceptual, analytical, financial modeling, and problem-solving skills
    • Act as a trusted advisor to key stakeholders throughout the organization
    • Ability to effectively participate as a management team member in addition to effectively communicating with various levels of staff
    • Strong interpersonal and relationship building skills to support collaboration at all levels of the organization
    • Openly and actively communicate information and take initiative to communicate extensively
    • Excellent written, verbal, presentation and negotiation skills

    Preferred Competencies:

    • Medicare Advantage Part C and D bid development expertise
    • Highly effective written, oral, and persuasive communication skills
    • Provide leadership to and be accountable for the performance and results through multiple layers of management and senior level professional staff
    • Develop, translate and execute strategies or functional objectives for the business
    • FSA
  • 1 Month Ago

V
Environmental Services Director
  • Vitality Senior Services
  • Franklin, TN FULL_TIME
  • Environmental Services Director Location: Franklin, TN, 37064 Skills Required: Leadership skills Flexibility to be on-call Job Description: The Environmental Services Director will be responsible for ...
  • 19 Days Ago

U
DIRECTOR - RESIDENTIAL SERVICES
  • Universal Health Services, Inc.
  • Waverly, TN FULL_TIME
  • Responsibilities Director of Residential Services Natchez Trace Youth Academy, a Universal Health Services, Inc. company, has a long history in providing comprehensive behavioral health care services ...
  • Just Posted

U
Director of Clinical Services
  • Universal Health Services, Inc.
  • Nashville, TN FULL_TIME
  • Responsibilities Hermitage Hall (a UHS company) is one of Middle Tennessee's largest stand-alone psychiatric residential treatment Hospitals. Licensed by Tennessee Department of Mental Health and Subs...
  • 15 Days Ago

D
Director of Nursing Services
  • Diversicare Healthcare Services
  • Ridge, TN FULL_TIME
  • Job ID: 2023-54835 Type: Regular Full-Time Location Name: Diversicare of Oak Ridge Shift: Days Address: 100 Elmhurst Drive Location: US-TN-Oak Ridge OverviewSmile, You’ve Found Us!*Director of Nursing...
  • 18 Days Ago

T
Admin Director Surgical Services
  • Texas Nursing Services
  • Chattanooga, TN FULL_TIME
  • Administrative Director of Surgical Services - Chattanooga, TNAnnual Pay: $150,000-$181,000Join Our Progressive Healthcare Team!Position: Administrative Director of Surgical ServicesLocation: Chattano...
  • 2 Months Ago

J
Director of Actuarial Reserving
  • JCW
  • JCW is currently working on behalf of a growing specialty insurance looking for a Director of Actuarial Reserving for th...
  • 3/28/2024 12:00:00 AM

G
Director-OPEB- Health-REMOTE
  • Gallagher
  • Rolling Meadows, IL
  • About Us: Buck, a Gallagher company, opens doors to a world of boundless opportunity and innovation. As part of our inte...
  • 3/28/2024 12:00:00 AM

M
Procurement & Risk Manager
  • Moulton Niguel Water District, CA
  • Laguna Hills, CA
  • Salary: $136,156.80 - $183,248.00 Annually Location : Moulton Niguel Water District, CA Job Type: Full-Time Job Number: ...
  • 3/28/2024 12:00:00 AM

P
Senior Sales Director OCIO Investment Solutions (Remote Available)
  • Principal Financial Group
  • Des Moines, IA
  • What You'll Do: Were looking for a Senior Director OCIO Investment Solutions to join our Principal Asset Management Inve...
  • 3/28/2024 12:00:00 AM

C
Remote Actuary Services Director (Medicare)
  • ClientSolv Technologies
  • Englewood, CO
  • Company Description ClientSolv Technologies is an IT solution firm with over a decade of experience serving Fortune 1000...
  • 3/27/2024 12:00:00 AM

P
Actuarial Analyst (Hybrid Insurance role)
  • PA Compensation Rating Bureau.
  • Philadelphia, PA
  • Job Description Job Description Job Summary: The Actuarial Analyst works under direction of either an Actuarial Director...
  • 3/26/2024 12:00:00 AM

C
Associate Actuary, Trad Life and LDTI (Remote)
  • Careerbuilder
  • Chesterfield, MO
  • 52 open jobs. Use your resume to get matched with the right job. Upload your resume Associate Actuary, Trad Life and LDT...
  • 3/26/2024 12:00:00 AM

P
P&C Actuarial Director - PR12713
  • Pryor Associates Executive Search
  • Chicago, IL
  • P&C Actuarial Director opening in NY, IL, MA, MN, or PA. Provide analytic services to P&C insurance companies, including...
  • 3/24/2024 12:00:00 AM

Tennessee borders eight other states: Kentucky and Virginia to the north; North Carolina to the east; Georgia, Alabama, and Mississippi on the south; Arkansas and Missouri on the Mississippi River to the west. Tennessee is tied with Missouri as the state bordering the most other states. The state is trisected by the Tennessee River. The highest point in the state is Clingmans Dome at 6,643 feet (2,025 m). Clingmans Dome, which lies on Tennessee's eastern border, is the highest point on the Appalachian Trail, and is the third highest peak in the United States east of the Mississippi River. The ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Actuarial Services Director jobs
$244,603 to $332,134

Actuarial Services Director in Racine, WI
Ensures that the Actuarial Department provides excellent services to various internal and external clients in the areas of pricing, reserving, forecasting, benefits and product development, provider relations/contracting, underwriting, and compliance.
January 23, 2020
Actuarial Services Director in Huntington, NY
If your organization includes a captive agency, actuarial services are a vital piece of your effectiveness and long-term viability.
December 19, 2019
Actuarial Services Director in Lancaster, PA
Join this team and you will provide clients with traditional actuarial services (e.g., reserving, pricing and mergers and acquisition support), as well as leading edge services such as financial reporting and measurement, financial risk management, modelling, hedging, reinsurance, securitization, economic capital and solvency.
December 20, 2019