
Remote opportunity at
Hello HeartDirector, Actuarial Services
Hello Heart operates as an artificial intelligence enterprise centered exclusively on cardiac health, offering a platform designed to predict and prevent cardiovascular events. The organization currently…
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About This Role
Hello Heart operates as an artificial intelligence enterprise centered exclusively on cardiac health, offering a platform designed to predict and prevent cardiovascular events. The organization currently seeks a strategic Director, Actuarial Services to deliver health economic research, financial value demonstrations, and actuarial strategies across the business. In this remote, full-time position, the professional will serve as a primary subject matter expert, translating intricate healthcare data into digestible insights for internal…
Job Description
Hello Heart operates as an artificial intelligence enterprise centered exclusively on cardiac health, offering a platform designed to predict and prevent cardiovascular events. The organization currently seeks a strategic Director, Actuarial Services to deliver health economic research, financial value demonstrations, and actuarial strategies across the business.
In this remote, full-time position, the professional will serve as a primary subject matter expert, translating intricate healthcare data into digestible insights for internal teams, health plans, consultants, and commercial clients. Reporting to the Vice President of Commercial Actuary, the selected candidate will collaborate alongside Sales, Finance, Growth, Customer Success, Consultant Relations, and Medical Affairs departments. Key duties involve conducting health economic studies, building risk-based pricing structures, overseeing performance guarantee reserves, and representing the organization during external client engagements. This role requires up to 20 percent travel.
Responsibilities
- Collaborate with Sales and Customer Success teams to reinforce commercial proposals and articulate financial value
- Participate in client calls, performance reviews, and renewal discussions as an actuarial representative
- Advocate for sound methodologies and practices supporting quality analyses and decision-making
- Lead health economic studies, cost savings analyses, and outcomes research
- Evaluate healthcare utilization, costs, medication adherence, and financial outcomes using large datasets including medical and pharmacy claims
- Create and maintain competitive performance guarantee offerings while assessing financial risks and reserve requirements
- Establish risk-based pricing strategies to support value-based contracting and incentive opportunities
- Present findings regarding healthcare economics and actuarial work to external audiences, payers, and conferences
- Act as the primary contact for independent savings studies and research partnerships with external entities
- Evaluate the anticipated financial and clinical impacts of new services and products
- Draft executive-level presentations, publications, and research materials translating statistical data
- Monitor market dynamics, competitor trends, and reimbursement models to guide business choices
Requirements
- Minimum of 7 years of actuarial experience within a healthcare organization, health insurance, or related sector
- Demonstrated background in client-facing or sales-support environments such as consulting or startups
- Deep expertise in healthcare economics, actuarial principles, risk assessment, and statistical methods
- Proficiency in utilizing R for analyzing large medical and pharmacy claims data
- Ability to apply artificial intelligence tools and agents to streamline workflows while critically evaluating outputs
- Experience with developing or evaluating financial outcomes research, cost savings studies, and risk-based pricing models
- Familiarity with risk adjustment, Medicare Advantage Star Ratings, and quality metrics
- Willingness to travel up to 20 percent of the time
Qualifications
- Bachelor's degree in Economics, Mathematics, Statistics, Actuarial Science, or a related field
- Associate of the Society of Actuaries or Fellow of the Society of Actuaries credential
Core Skills
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
What is the location and remote work policy for this position?
The position is listed as remote with a willingness to travel up to 20 percent of the time.
What is the salary range for the Director, Actuarial Services role?
The United States base salary range is $200,000 to $225,000 per year, which reflects annual salary and bonus only without equity or benefits.
What educational and credential qualifications are required?
Candidates must hold a bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or a related field, along with an Associate or Fellow of the Society of Actuaries credential.
What department does this role report to?
This role reports directly to the Vice President of Commercial Actuary.
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