Actuary Senior Director at Wellpath

Franklin, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Sep, 26

Salary

0.0

Posted On

06 Jun, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Actuarial Modeling, Medical Claims Analysis, Pharmacy Claims Analysis, Reserving, Risk Adjustment, Enterprise Analytics, Financial Forecasting, Pricing, Budgeting, Financial Planning, Population Health Management, Value-Based Care, Data Analysis, Regulatory Compliance, Healthcare Trend Analysis, Strategic Leadership

Industry

Hospitals and Health Care

Description

You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference The Actuary Senior Director provides strategic leadership across healthcare actuarial functions, including medical and pharmacy claims analysis, reserving, risk adjustment, and enterprise analytics. This role oversees the development and use of actuarial models to forecast medical costs, evaluate financial risk, and support pricing, budgeting, and long-term financial planning. The position delivers clear, data-driven insights to executive leadership to support strategic decision-making and financial sustainability. This role plays a key part in managing cost volatility and supporting population health and value-based care initiatives. Key Responsibilities Develop and oversee actuarial models supporting medical claims forecasting, population health management, reserving, and risk adjustment. Provide actuarial support for planning, forecasting, rate-setting, reporting, pricing, and valuation activities. Analyze and interpret healthcare data using actuarial and analytical tools to deliver insights to executive leadership and the Board. Assess financial risk, trends, and uncertainties through data analysis to inform enterprise decision-making and risk mitigation strategies. Ensure data integrity, regulatory compliance, and effective communication of complex actuarial findings to internal and external stakeholders. Qualifications & Requirements Education Bachelor’s degree in actuarial science, Mathematics, Statistics, Economics, or a related field required. Experience Minimum of 5-7 years of Health actuarial or related experience Strongly prefer healthcare reserving and healthcare claim trend expertise Licenses/Certifications Fellow-level designation from Society of Actuaries (FSA) or Associate of the Society of Actuaries (ASA) preferred We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.

Responsibilities

Provide strategic leadership across healthcare actuarial functions, including claims analysis, reserving, and risk adjustment. Develop actuarial models to forecast medical costs and deliver data-driven insights to executive leadership for financial sustainability.