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Director, Actuarial Services (Medicare and Payer MA experience) - remote - Vytalize Health

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Job Title
Director, Actuarial Services (Medicare and Payer MA experience) - remote
Job Location
Remote
Job Description

About Our Company

Vytalize Health is a leading value-based care platform. It helps independent physicians and practices stay ahead in a rapidly changing healthcare system by strengthening relationships with their patients through data-driven, holistic, and personalized care. Vytalize provides an all-in-one solution, including value-based incentives, smart technology, and a virtual clinic that enables independent practices to succeed in value-based care arrangements. Vytalize's care delivery model transforms the healthcare experience for more than 250,000+ Medicare beneficiaries across 36 states by helping them manage their chronic conditions in collaboration with their doctors.

 

About our Growth 

Vytalize Health has grown its patient base over 100% year-over-year and is now partnered with over 1,000 providers across 36-states. Our all-in-one, vertically integrated solution for value-based care delivery is responsible for $2 billion in medical spending. We are expanding into new markets while increasing the concentration of practices in existing ones.

Visit www.vytalizehealth.com for more information.

 

Why you will love working here

We are an employee first, mission driven company that cares deeply about solving challenges in the healthcare space. We are open, collaborative and want to enhance how physicians interact with, and treat their patients. Our rapid growth means that we value working together as a team. You will be recognized and appreciated for your curiosity, tenacity and ability to challenge the status quo; approaching problems with an optimistic attitude. We are a diverse team of physicians, technologists, MBAs, nurses, and operators. You will be making a massive impact on people’s lives and ultimately feel like you are doing your best work here at Vytalize.

 

Role Overview: 

If you feel siloed in your current role, want to have a bigger voice and impact on company outcomes, and truly help patients, this is a great role for you! Your responsibilities will span leading actuarial analyses, evaluating contractual changes, developing budgets, and providing invaluable insights to enhance our performance under value-based contracts. This is a great opportunity for anyone who wants to roll up their sleeves and own the actuary function. We are looking for a seasoned professional with 12+ years of actuarial experience, including experience working for a payer. Are you the driven builder we are looking for?

 

Key Responsibilities:

  • Run actuarial product analysis and projections for Vytalize Health.
  • Evaluate changes in payer contracts and government programs, offering recommendations for optimizing value-based contract performance.
  • Collaborate in the development of budgets and reforecasts, fostering a partnership with Finance and the Business teams.
  • Provide expert actuarial insights to elevate our performance under value-based care contracts.
  • Develop and scale actuarial projection processes and models as Vytalize Health expands into new contracts and markets.
  • Work closely with external partners/consultants to triangulate performance projections under value-based contracts.
  • Stay abreast of industry trends and changes in healthcare regulations to inform strategic decision-making.
  • Analyze, evaluate, and interpret complex healthcare data, creating actuarial models and projections, and offering recommendations for organizational improvement.

 

Skills and Experience:

  • FSA or ASA designation with MAAA accreditation.
  • 12+ years of full-time experience in actuarial roles, within the healthcare sector (CMS, Health Plan, Managed Care/ACO, MA).
  • Demonstrated strong actuarial skills, showcasing your ability to lead performance projections.
  • In-depth understanding of ACO and payer practices related to value-based care.
  • Deep knowledge of the U.S. healthcare system and the pivotal role primary care providers play in enhancing clinical outcomes.
  • Familiarity with Medicare Advantage and Medicare ACO.
  • Professional experience working for a payer organization in the MA space.
  • Effective communicator across all organizational levels, including presenting projections to leadership, the investment community, auditors, etc.
  • Preferred experience in developing and evaluating provider performance in a value-based care contract.
  • Self-starter with the ability to build processes from the ground up and effectively communicate them to a broader audience.

 

Perks/Benefits

  • Competitive base compensation
  • Annual bonus potential 
  • Health benefits effective on start date; 100% coverage for base plan, up to 90% coverage on all other plans for individuals and families
  • Health & Wellness Program; up to $300 per quarter for your overall wellbeing
  • 401K plan effective on the first of the month after your start date; 100% of up to 4% of your annual salary
  • Company paid STD/LTD
  • Unlimited (or generous) paid "Vytal Time", and 5 paid sick days after your first 90 days
  • Technology setup
  • Ability to help build a market leader in value-based healthcare at a rapidly growing organization.

 

We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas.

 

Please note at no time during our screening, interview, or selection process do we ask for additional personal information (beyond your resume) or account/financial information. We will also never ask for you to purchase anything; nor will we ever interview you via text message. Any communication received from a Vytalize Health recruiter during your screening, interviewing, or selection process will come from an email ending in @vytalizehealth.com.

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Vytalize Health Headquarters Location

Hoboken, NJ

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Vytalize Health Company Size

Between 200 - 500 employees

Vytalize Health Founded Year

2014

Vytalize Health Total Amount Raised

$175,500,000

Vytalize Health Funding Rounds

View funding details
  • Series C

    $100,000,000 USD

  • Series B

    $47,000,000 USD

  • Debt Financing

    $6,000,000 USD

  • Series A

    $17,000,000 USD

  • Seed

    $5,500,000 USD

Vytalize Health's Industries