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  • Managing Director, , Actuarial Services

    Evolent (San Juan, PR)



    Apply Now

    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:

    Job Description

    Put your passion where it meets purpose! Evolent attracts some of the brightest minds in health care. Surround yourself with talented, driven colleagues who share a passion for better health outcomes and a more connected care journey. We are hiring for a Managing Director, Actuarial Services to join our Finance Team.

     

    The candidate selected for this role will be part of a team who thrives on driving analysis and support for Evolent's fast growth and innovative risk-based Performance Suite business.

    Collaboration Opportunities:

    This person will work cross-functionally with many departments across the organization to analyze, communicate, and negotiate client performance and contracting.

    What You’ll Be Doing:

    + Serve as the lead for medical cost and revenue projections for Performance Suite business

    + Partner with Performance Solutions to analyze and size impact of innovative care models

    + Oversee Medical Cost Action Planning work to identify, size, and support new programs aimed at reducing cost of care

    + Partner with Performance Suite Analytics leaders to understand cost drivers to inform future cost expectations

    + Coordinate with internal teams to ensure clean and consistent tracking of Evolent’s covered membership and claims

    + Synthesize complex analyses into succinct presentations for communication to key internal and external executive stakeholders

    + Partner with team members across the organization to ensure accurate and timely delivery of quarterly forecast updates

    + Build tools and capabilities to quantify and narrow range of expected outcomes for financial performance

    + Participate in execution of complex deal structures for potential new and existing clients

    + Perform ad hoc client-specific analyses to support strategic decision-making

    Qualifications - Required and Preferred:

    + Bachelor’s degree in quantitative field **(Required)**

    + Associate of Society of Actuaries credentials **(Required)**

    + 10+ years of experience working in a medical economics-related field **(Required)**

    + Exceptionally strong analytical abilities, with a track record of identifying insights from financial information and translating into recommendations **(Required)**

    + Ability to multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, and manage a project from start to finish **(Required)**

    + Able to work independently to meet deadlines within time constraints **(Required)**

    + Strong interpersonal skills to coordinate with people across all areas of the organization in a fast-paced, dynamic environment **(Required)**

    + Strong communication skills with ability to work with technical and non-technical audiences **(Required)**

    + Ability to handle ambiguity and demonstrate initiative to identify and resolve problems **(Required)**

    + Experience delivering executive-level presentations for strategic decision-making **(Required)**

    + Basic knowledge of risk/capitation contracting **(Required)**

    + Experience with project and stakeholder management **(Required)**

    + Fellow of Society of Actuaries credentials with Group Health track **(Preferred)**

    + Familiarity with healthcare claim processing **(Preferred)**

    + 5+ years experience at payer or management consulting firm **(Preferred)**

    + Basic knowledge of GAAP **(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. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

     

    Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** **[email protected]** **for further assistance.

     

    The expected base salary/wage range for this position is $165,000-180,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.

     

    Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

     


    Apply Now



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