Athenahealth

Compensation

Full Description

Grow your career internally or refer a friend to athenahealth! Business Title Director, Actuarial Analytics – Healthcare Utilization & Revenue Forecasting Role summary The Director of Actuarial Analytics will lead the development and execution of advanced actuarial models and analytics to forecast healthcare utilization, evaluate emerging trends, and assist the broader FP&A team in projecting revenue. This role will provide strategic insights to executive leadership, guide business initiatives, and ensure the organization’s financial planning is grounded in robust actuarial analysis. This role will report to the Executive Director of Corporate Finance. Team summary The FP&A team builds budgets, forecasts, and multi-year financial plans that guide the company’s strategic priorities. This actuarial-focused director will partner closely with finance, product, sales, and operations to translate utilization and pricing insights into reliable forecasts and actionable financial models. Essential Job Responsibilities • Develop and lead actuarial forecasting models for utilization, revenue, and cost across products and lines of business. • Manage pricing analyses and rate-setting workstreams for government (Medicare, Medicaid) contracts and commercial payer models. • Analyze utilization trends and identify drivers to inform financial projections and strategic recommendations. • Build and maintain financial models and dashboards to support monthly/quarterly forecasting and executive reporting. • Collaborate with sales, product, and operations to evaluate contract economics, renewals, and new business opportunities. • Mentor and review work from actuarial and analytics staff, ensuring methodological rigor and quality control. • Present findings and recommendations to senior finance and business leaders to support strategic decision-making. • Support development of actuarial documentation and knowledge sharing across the finance organization. Additional Job Responsibilities • Support ad hoc actuarial analyses for M&A, strategic investments, or special projects as requested. • Contribute to process improvements in forecasting, pricing, and reporting workflows. • Partner with regulatory and compliance teams on modeling assumptions related to reimbursement and policy changes. • Prepare documentation and assumptions for audit and external reporting needs. • Participate in vendor and third-party model evaluations and oversight. Expected Education & Experience • Bachelor’s degree in Actuarial Science, Statistics, Mathematics, or related field (Master’s preferred). • Associate or Fellow of the Society of Actuaries (ASA or FSA). • 8+ years of experience in healthcare actuarial roles, with deep expertise in forecasting, pricing, and utilization analysis. • Experience with government healthcare contracts (Medicare, Medicaid) and commercial payer models. • Advanced proficiency in Excel, SQL, SAS, and other analytical tools; experience with data visualization platforms (e.g., Power BI, Tableau) preferred. • Strong communication skills, with the ability to present complex analyses to non-technical audiences. • Demonstrated leadership in managing projects and mentoring teams. • Creative problem-solving skills and intellectual curiosity; ability to thrive in a fast-paced, evolving environment. • Experience with value-based contracting and risk adjustment analytics. • Prior consulting experience or exposure to multiple payer environments preferred. • Proven ability to integrate actuarial standards with business strategy and operational goals preferred. Expected Compensation $161,000 - $273,000 The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans. Have you notified your current manager of your application?