Director, Actuarial Services

Your Future Evolves Here

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

What You’ll Be Doing:

Our Actuarial Team offers candidates the opportunity to support our partners to accelerate and enable their value-based care strategies. We are advocates for creating patient value and demonstrate this by ensuring that our financial arrangements are actuarially sound and sustainable. We value humility, adaptability, intellectual curiosity, and accountability as we solve complex business problems.

Collaboration Opportunities: 

The Director, Actuarial Services utilizes and develops analytical tools to solve complex business challenges, as well as support decision making that can have a considerable impact on the organization and patient health.  This role supports both medical cost management activities and business development efforts.

What You Will Be Doing:

• Analyze claims and authorization data to identify trends, calculate cost of healthcare, and identify medical cost savings opportunities for customers

• Perform rigorous actuarial modeling and forecasting to support gainshare and ROI arrangements

• Incorporate business expectations for the financial impacts of clinical integration, population management processes, provider contracts, and benefit structures into rates and financial projections

• Manage organizational risk through forecasting of financial/statistical data in a manner which is actuarially sound

• Ability to lead and work independently with cross-functional teams

• Consistently deliver high-quality, error-free deliverables

• Manage several projects at varying phases, and ensure projects meet strategic objectives and are managed to timelines

• Interact with and coach teams of actuaries and non-actuaries, including support for team engagement and strategy

• Present reports and analyses to clients and internal executives

• Manage a junior actuarial team member

Qualifications - Required and Preferred:

• Bachelor’s degree, preferably with a quantitative major (e.g. actuarial science, statistics, mathematics, economics, data science) – Required.

• Associate or Fellow of the Society of Actuaries - Required.

• 5+ years of experience in a health actuarial setting - Required.

• Strong proficiency with Microsoft Excel– Required.

• Strong leadership & project management skills - Required.

• Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs – Required.

• Excellent communication and presentation skills. Must be comfortable presenting complex analyses to internal and external client executives – Required.

• Actuarial experience in value-based care or Medicaid - Preferred.

• Experience in claims-based healthcare analytics to drive decision making - Preferred.

To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration.

Technical Requirements:

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router.

Evolent is an equal opportunity employer and considers all qualified applicants equally without