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Sr. Director, Actuarial

United States

What We Strive For 

At Strive Health, we’re driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high-touch care model integrates with local providers and uses predictive data to identify and support at-risk patients along their entire care journey. We embrace diversity, celebrate successes, and support each other, making Strive the destination for top talent in healthcare. Join us in making a real difference. 

Benefits & Perks 

  • Hybrid-Remote Flexibility – Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
  • Comprehensive Benefits – Medical, dental, and vision insurance, two employee assistance programs (EAP), employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
  • Financial & Retirement Support – Competitive compensation with a performance-based bonus program, 401k with employer match, and financial wellness resources.
  • Time Off & Leave – Paid holidays, flexible vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
  • Wellness & Growth – A well-being bundle with Carrot Fertility and Peloton at no cost, mental health support, and an annual professional development stipend. 

What You’ll Do 

Reporting to the Chief Actuary, the Sr. Director, Actuarial Services will oversee IBNR reserve development, financial projections, and general risk management. This role will work closely with FP&A and Accounting teams and will be responsible for communicating financial performance to internal leadership. This role is critical in supporting the company’s financial health and enhancing performance across Commercial, Medicare, and Medicaid programs, particularly through value-based care initiatives. 

The Day to Day 

  • Manage a team of talented and driven actuaries, ranging from Analyst to Manager level 
  • Lead reserve development and settlement calculations to support financial month close, ensuring accurate and timely reserve calculations 
  • Collaborate effectively with Finance team to consolidate monthly enterprise level financial results and record appropriate entries 
  • Effectively communicate financial results to leadership (including Chief Actuary, CFO and CEO), telling a clear and concise story on drivers of performance and potential areas of improvement 
  • Work directly with reinsurance brokers to secure stop loss and financial guarantee policies 
  • Support the accounting team in annual audit process 
  • Build, maintain and improve IBNR and Financial Projection model, robust reporting, and actionable analytics.   
  • Uses analytical tools to identify meaningful trend drivers, with linkage to financial results. 

 

Minimum Qualifications 

  • Bachelor’s degree in Math, Actuarial Science, Finance, Economics, Statistics, Business, or relevant field 
  • ASA / FSA Designation through the Society of Actuaries 
  • 9+ years’ experience in the healthcare industry 
  • 9+ years Advanced Excel, SQL, and financial modeling capabilities 
  • 5+ years direct experience in IBNR / claims reserving to total cost of care 
  • 3+ years’ experience leading an actuarial team 

  

Preferred Qualifications 

  • Experience in healthcare analytics  
  • Experience in value-based care contracting 
  • Experience in Commercial, Medicaid and Medicare  
  • Experience with CMS shared savings programs  
  • Exceptional analytical and conceptual thinking skills 
  • Experience using Microsoft Power BI 

 

About You 

  • Proven ability to lead and develop high-performing teams, with a strong focus on fostering collaboration and driving results. 
  • Strong problem-solving skills with the ability to thrive in a fast-paced, dynamic environment. 

 

Annual Base Salary Range: $175,000 - $195,000 plus bonus

Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all the qualifications. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talentacquisition@strivehealth.com.

 

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