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Evolent Health

Director, Actuarial Services

Reposted An Hour Ago
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Remote
Hiring Remotely in Home, Klouékanmè, Kouffo
Senior level
Remote
Hiring Remotely in Home, Klouékanmè, Kouffo
Senior level
Lead actuarial quality and consistency across analytics and finance teams by reviewing and improving models, guiding methodologies, establishing guardrails, coaching staff, and communicating results to executives and clients. Drive process improvements, reduce manual work, and support adoption of analytics and automation tools to ensure defensible, scalable outputs.
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Your Future Evolves Here

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

What You’ll Be Doing:

About the Role

The Director, Actuarial Services is responsible for ensuring actuarial work across analytics and finance teams meets a high standard for quality, rigor, and business relevance. This is not a traditional model ownership role. Instead, you operate across teams, helping shape how work is done, improving the quality of models and analyses, and making sure outputs are sound and defensible.


You will work closely with actuarial, risk analytics, opportunity analytics, and other analytics teams as work is being built. In some cases you will step in directly to help refine or structure a model. In others, you will guide the approach, challenge assumptions, and ensure the end result meets actuarial standards.


Beyond the work itself, you will help teams improve how they operate by simplifying workflows, reducing unnecessary manual effort, and supporting adoption of better tools and processes. You are not responsible for building AI or automation solutions, but you are expected to influence how they are used and ensure they raise the overall quality of output.


Success in this role means work across teams is more consistent, more defensible, and easier to scale without adding unnecessary complexity.


What You’ll Be DoingCore Actuarial Leadership
  • Participate in actuarial, risk analytics, opportunity analytics, and broader analytics team forums to guide work as it’s being built
  • Work alongside teams to shape models, analyses, and outputs so they meet actuarial standards for rigor and defensibility
  • Step into builds when needed, but focus on raising the quality of work across teams, not owning every model end-to-end
  • Bring an actuarial lens to ensure assumptions, methodologies, and conclusions are sound and aligned with business intent
  • Help teams translate business questions into structured, analytically sound approaches

Model Oversight & Risk Management
  • Review and challenge model design, assumptions, and methodologies across teams
  • Ensure consistency and clarity in how work is structured, documented, and communicated
  • Identify risk areas in models and analyses, and guide teams to address them early
  • Establish practical guardrails and review patterns that raise the overall quality bar without slowing teams down
  • Act as a point of escalation for complex or high-risk analytical work, helping bring it to a level stakeholders can trust
  • Set the standard for what “actuarially sound” looks like and ensure work meets that bar before it reaches leadership or clients

Project & Team Leadership
  • Manage multiple efforts across teams and ensure work aligns to business priorities and timelines
  • Coach and develop actuarial and analytics team members
  • Set clear expectations for quality, timelines, and communication
  • Partner with cross-functional stakeholders across actuarial, analytics, finance, and clinical teams

Client & Executive Communication
  • Translate complex analyses into clear, actionable insights
  • Present results to internal leadership and external client stakeholders
  • Support business development efforts through analytical insights

Process Improvement & Workflow Efficiency
  • Identify high-friction areas in models, reporting, and data workflows
  • Drive improvements that reduce manual work and improve consistency
  • Partner with analytics and AI teams to implement automation and self-service solutions where appropriate
  • Support adoption of new tools and workflows within the actuarial and analytics teams
  • Track improvements in cycle time, accuracy, and team capacity

Qualifications – Required
  • Bachelor’s degree in a quantitative field (actuarial science, mathematics, statistics, economics, or data science)
  • Associate or Fellow of the Society of Actuaries (ASA or FSA)
  • 5+ years of experience in a health actuarial setting
  • Strong proficiency in Microsoft Excel
  • Proven ability to evaluate and improve complex actuarial models
  • Strong project management and organizational skills
  • Ability to communicate clearly with both technical and non-technical stakeholders
  • Experience presenting to senior internal and client audiences

Qualifications – Preferred
  • Experience in value-based care or Medicaid
  • Experience working with claims-based healthcare data
  • Familiarity with data and reporting tools (Power BI or similar)
  • Experience working with or alongside analytics or automation teams

What Success Looks Like
  • Work across teams is consistent, structured, and holds up under scrutiny
  • Models and analyses are trusted and clearly understood by stakeholders
  • Teams operate with less rework and fewer manual steps
  • Quality improves without slowing down delivery
  • Stakeholders rely on outputs to make decisions with confidence

To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration.

Technical Requirements:

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router.

Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact [email protected] for further assistance.

The expected base salary/wage range for this position is $140,000 - 160,000. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.

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