Director, Value-Based Analytics & Actuarial Strategy

• Partner with health plans, ACOs, and health systems to design, evaluate, and enhance value-based care programs (e.g., shared savings, global capitation, incentive models)
• Lead actuarial and financial analytics supporting contract modeling, risk adjustment, benchmarking, and performance measurement across multiple lines of business (Medicaid, Medicare, Commercial)
• Translate analytical findings into strategic insights for clients—supporting contract development, performance improvement, and program optimization
• Collaborate with internal teams (product, engineering, and client delivery) to shape product strategy and ensure that data-driven capabilities align with evolving market needs
• Serve as a client-facing subject matter expert in value-based contracting, risk modeling, and performance analytics
• Assist clients with defining their value-based strategy and defining an ROI
• Contribute to business development activities by supporting client presentations, proposals, and thought leadership initiatives
• Stay current with CMS, state Medicaid, and commercial VBP policy trends, including interoperability and quality measurement standards (HEDIS, eCQMs, DaVinci, MCP, etc.)
• Be a strategic thought leader within the Company to help scale SpectraMedix into the leader in VBC software applications

• Bachelor’s or Master’s degree in Actuarial Science, Statistics, Mathematics, Health Economics, or related field
• 12+ years of experience in actuarial, financial, or value-based analytics roles within a consulting firm, health plan, ACO, or healthcare analytics organization
• Proven understanding of value-based contracting, risk adjustment, quality metrics, and payment reconciliation processes
• Strong data literacy—experience working with healthcare data (claims, cost, quality, utilization) and proficiency with analytical tools (SQL, R, Python, Excel, Power BI, etc.)
• Excellent communication skills with the ability to engage payer and provider executives and translate complex analytics into actionable strategy
• This role involves approximately 20–25% travel, so you should be comfortable with occasional work-related travel
• Hands-on exposure to Cloud technologies, particularly Azure, AWS, and Databricks

• ASA/FSA designation or actuarial exam progress
• Prior experience in a health plan or large ACO managing value-based arrangements or a consultative role assisting with value-based contract creation
• Familiarity with interoperability frameworks (FHIR, DaVinci), healthcare data warehousing, and financial modeling tools
• Experience in product development, product strategy, or cross-functional collaboration with technology teams

Competitive compensation, benefits, and professional growth opportunities