Lead Actuary - Value-Based Provider Reporting & Support

Become a part of our caring community

The Lead Actuary analyzes financial, economic, and operational data to support strategic and business decisions. This role leads a team responsible for reporting and analytics that inform value-based provider relationships and strategy, addressing complex issues with a high degree of independence and judgment. The Lead Actuary partners with Market Operations, Provider Experience, and other business stakeholders to support provider relationship management and analytics. You will report to the Associate Director, Actuarial (General) in this role. Responsibilities include providing actuarial support for provider negotiations, engaging directly with providers, and balancing relationship objectives with financial and compliance considerations. You will also oversee internal reporting processes, helps shape strategy and policies for value-based provider reporting, and develops new reports and visualizations to meet evolving business needs. Working with minimal supervision, you will exercise sound judgment on complex matters and evaluates multiple factors to determine effective solutions.