Director, Actuarial

Position Summary

Reasons you will want this position:

• We are a rapidly growing company, that will provide you with limitless challenges in developing and enhancing algorithms
• Our culture appreciates and rewards creative ideas especially those that achieve better outcomes for everyone
• This is a key position for our continued success and will involve regular interaction with our executives and senior leadership
• You will be able to sharpen your communication and presentation skills as this position is highly interactive with our client’s primary stakeholders.
• Work where you are most productive: from home, in the office, or hybrid. Remote hybrid work schedule with flexible hours.

Summary
As an Actuarial Director for Cedar Gate Technologies, you will create mathematical and statistical models to calculate likely outcomes and present findings in detailed reports. To be successful in this role, you should have enthusiasm for collaborating with non-actuaries to creatively solve problems through analytic approaches. Ultimately, we expect you to contribute to building algorithms and structured analysis that guide our clients to making the most impactful investments through identification of cost and quality improvement opportunities.

Roles & Responsibilities

• Develop mathematical, financial analyses to solve problems that comply with actuarial standards of practice (ASOPs)
• Build and maintain expertise in new and existing CMS value-based care programs with the ability to research and clearly communicate actuarial aspects, drivers of financial success and drivers of clinical success. This includes timely research of new programs as well as changes to existing programs
• Construct value-based contract forecasts of future premiums, claims and risk scores based on past operations and anticipated future changes
• Clearly explain value-based contract forecast assumptions, volatility, sensitivity analysis and risks to clients
• Automate repeating actuarial tasks identifying opportunities to include methods as software features
• Assist software developers in deploying software features through development of written requirements, definition of use cases, user acceptance testing and serving as a subject matter expert to assure appropriate use of methods as well as proper communication of limitations and disclosures
• Estimate probability and likely cost of events such as an accident, death, natural disaster or sickness
• Explain reports, forecast estimates and findings to various parties, from company executives to clients, shareholders, and government officials that comply with actuarial standards of practice (ASOPs)
• Build predictive models to accurately analyze potential outcomes
• Compare actual ROIs with forecasts
• Monitor market trends and identify opportunities for new investments and funds

Required Experience / Qualifications

• Bachelor's degree in mathematics, actuarial science, or business.
• Work experience as an Actuary with an ASA or FSA
• In-depth understanding of how to use actuarial formulas and tables
• Hands-on experience with statistical packages like R or Python
• Good knowledge of insurance legislation
• Hands-on experience working with CMS value-based care models (e.g., MSSP and/or ACO REACH/Direct Contracting) as well as experience with models in Commercial, Medicaid and Medicare Advantage market spaces, including Pay for Performance contracts, ACOs, Capitation and Bundle models
• Excellent numerical and analytical skills
• Attention to detail
• Strong communication skills with the ability to:
  • Read and comprehend simple instructions, short correspondence, and memos
  • Write simple correspondence
  • Speak professionally
  • Present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
• Proven mathematical skills in all units of measure computing rate, ratio, and percent
• Ability to accurately create and interpret findings with charts and graphs.

Your Future Working Environment

If you join Cedar Gate, you can make great ideas happen for some of the world's most dynamic companies. With broad global resources and deep technical know-how, we collaborate with clients to cultivate ideas and deliver results in the medical industry. Choose a career at Cedar Gate and enjoy an innovative environment where challenging and interesting work is part of daily life.

Next to our excellent terms of employment and fringe benefits, we invest considerable resources to provide ongoing training that builds and extends professional, technical, and management skills in all areas. At Cedar Gate, you will operate in a professional environment where teamwork and innovation are immensely encouraged. Together with colleagues, you will work on high-impact projects for many dynamic companies.

About Cedar Gate

Cedar Gate enables payers, providers, employers, and service administrators to excel at value-based care. Our unified technology and services platform enhances and automates data management activities to deliver employer and provider analytics, care management, and payment technology necessary to pursue every payment model and optimize performance in all lines of business. From primary care attribution to bundled payments to capitation, our platform is designed to improve clinical, financial, and operational outcomes for all.

Based in Greenwich, CT, Cedar Gate is private equity-backed by GTCR, a leading Chicago-based private equity firm, Ascension Ventures, a strategic healthcare venture firm, and Cobalt Ventures, the investment subsidiary of BCBS of Kansas City. To learn more, visit www.cedargate.com.