Job description
Included Health is seeking a strategic and results-oriented Vice President, Chief Actuary to join our dynamic finance leadership team. Reporting directly to the Senior Vice President, Financial Planning & Analysis, this role is critical to driving our financial performance and supporting current and future business growth as we expand into capitated risk. In this leadership role, you will be responsible for overseeing the development of actuarial models, pricing strategies, risk management, and the overall financial health of the company’s products and services. The ideal candidate will have deep expertise in health insurance, value-based care, predictive analytics, data science, and risk management, as well as a strong ability to execute and influence decisions at the executive level. They will also be adept at interacting with external parties, able to represent the company in sales and public markets.
Responsibilities:
- Strategic Actuarial Leadership:
- Lead the actuarial team to deliver insights and drive decision-making at the highest levels of the company.
- Collaborate with cross-functional leadership teams (e.g., finance, product, data science, and general management) to align actuarial strategies with business objectives.
- Develop and utilize predictive analytics and big data technologies to drive actionable insights into customer behavior, health trends, and financial performance.
- Evolve and leverage technology to automate and improve actuarial processes, ensuring scalability as the company grows.
- Team Leadership:
- Manage, mentor, and grow a high-performing actuarial function and team, fostering a collaborative and growth-oriented culture, aligned with the future needs of the company.
- Strategic team leadership - able to see ahead to future possibilities and translate them into breakthrough strategies; has the confidence to establish new processes and ways of thinking.
- Set clear objectives and performance expectations, ensuring alignment with broader company goals while fostering continuous learning and development.
- Instills trust and gains the confidence of others through honesty, integrity, and authenticity.
- Build a culture of belonging that represents diverse perspectives, as well as attracting and retaining top actuarial talent.
- Pricing Strategy:
- Contribute to the development of pricing models and ensure the alignment of pricing with business goals, market trends, and regulatory requirements.
- Assess the performance of existing products, and recommend adjustments to pricing, coverage, or benefit designs as necessary.
- Risk Management:
- Develop and maintain sophisticated models to assess and manage the company’s exposure to risk, including underwriting, claims, and member health costs.
- Ensure the accuracy and reliability of risk-adjusted projections and reserve levels.
- Collaborate with the business on establishing and pricing the best performance guarantees.
- Regulatory Compliance:
- Ensure compliance with all relevant actuarial standards, regulations, and industry guidelines.
- Lead the preparation of actuarial reports, filings, and submissions for internal stakeholders and external regulatory bodies.
- External Engagement & Relationship Management:
- Act as a key thought leader and trusted advisor for prospects, customers, and external stakeholders.
- Represent the actuarial function in discussions with potential clients, partners, and industry regulators.
- Provide strategic insights to support sales, customer retention, and product development, fostering long-term relationships with key stakeholders.
- Collaboration & Influence:
- Serve as the primary liaison between the actuarial department and other key stakeholders, including executive leadership, customers, and external partners.
- Present findings and recommendations to the executive team, clients, and regulatory authorities.
Qualifications:
- Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or a related field; a Master’s degree is a plus.
- 12+ years of total professional experience, with a proven track record in actuarial leadership within health plans and risk bearing entities within healthcare.
- Extensive experience with health risk management, product pricing, underwriting, and claims modeling.
- Strong proficiency in actuarial modeling software, advanced statistical techniques, and data analytics tools.
- Experience with value-based care, risk adjustment, and population health management models is required.
- In-depth knowledge of regulatory requirements and reporting standards in healthcare and insurance.
- Excellent communication skills with the ability to present complex actuarial concepts to non-technical stakeholders; able to influence and collaborate across all levels of the organization.
- Strong leadership skills with a track record of building and developing high-performing teams.
- A strategic thinker with the ability to balance short-term goals with long-term business objectives.
- Motivated and impactful self-starter who can thrive in a high growth, high performance, results-driven environment.
- Able to excel in ambiguity; effectively handles risk and deals comfortably with the uncertainty of change.
Physical/Cognitive Requirements:
- Prompt and regular attendance at assigned work location.
- Ability to remain seated in a stationary position for prolonged periods.
- Requires eye-hand coordination and manual dexterity sufficient to operate keyboard, computer and other office-related equipment.
- No heavy lifting is expected, though occasional exertion of about 20 lbs. of force (e.g., lifting a computer / laptop) may be required.
- Ability to interact with leadership, employees, and members in an appropriate manner.
The United States new hire base salary target range for this full-time position is:
$237,170-335,000
This range reflects the minimum and maximum target for new hire salaries for candidates. Below is additional information on Included Health’s commitment to maintaining transparent and equitable compensation practices.
Starting base salary for you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data. Compensation structures and ranges are tailored to each zone’s unique market conditions to ensure that all employees receive fair and great compensation package based on their roles and locations.
Benefits & Perks:
In addition to receiving a great compensation package, the compensation package may include, depending on the role, the following and more:
Remote-first culture
401(k) savings plan through Fidelity
Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)
Paid Time Off (“PTO”) and Discretionary Time Off (“DTO”)
12 weeks of 100% Paid Parental leave
Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies.
Work-From-Home reimbursement to support team collaboration home office work
Your recruiter will share more about the salary range and benefits package for your role during the hiring process.
About Included Health
Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more atincludedhealth.com.
Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.
About Included Health
Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.
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Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.
