Actuarial Director

Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. Daymark's comprehensive, personalized cancer care platform empowers patients with dedicated care navigation, symptom-focused support, behavioral health care, and social resources. Combined with evidence-based health interventions and a hybrid in-person + virtual care model, Daymark is improving the overall cancer experience for patients, providers, and health plans - and setting a new standard in cancer care.

Daymark's groundbreaking approach is led by CEO Dr. Justin Bekelman, a pioneer in transforming cancer care, alongside some of the nation's foremost leaders in oncology and value-based care. Daymark emerged from Healthcare Foundry, a platform dedicated to creating purpose-built, technology-enabled healthcare organizations. Daymark Health is backed by Maverick Ventures.

ABOUT THE ROLE

Daymark Health is on a mission to transform cancer care-and we're looking for our first Actuarial Director to help lead the way. In this high-impact role, you'll report directly to our Co-Founder, while collaborating closely with senior leaders including our CEO, COO, VP of Product, and Data & Analytics Lead.

You'll be at the center of building our actuarial strategy from the ground up, shaping the future of value-based oncology care, and helping us scale nationally. If you're excited about innovation, data, and making a real difference in healthcare, this could be the role for you.

WHAT YOU'LL DO

By the end of your first three months you will:

• Learn the business and our innovative value-based oncology care model-reviewing what was done in our first market and suggesting improvements.
• Apply lessons from our first market to new growth opportunities.
• Begin managing the eligibility criteria process for cancer episodes in both new and existing contracts.
• Help shape the foundations of our actuarial model by working closely with growth, finance, data, engineering, and other teams to design complex forecasting models powered by modern technology.
• Lead the development and execution of actuarial models and cost savings analyses by line of business for both existing and new contracts, utilizing relevant data and analytical tools (e.g., SAS, SQL, R, Python, Excel, Tableau).
• Start providing strategic direction and insights to executives on regulatory requirements and industry standards for Medicare Advantage and commercial actuarial practices, especially in relation to value-based care agreements.
• Help Daymark's leadership design methodologies to benchmark and reconcile savings in value-based oncology contracts.
• Co-manage a team of external actuaries supporting Daymark's services, with the opportunity to grow the team over time as the company expands.

By the end of your first year on the team you will:

• Be a lead thought partner in defining contract terms and conditions for new value-based solutions with payer partners.
• Communicate actuarial results to clients-leading financial meetings and clearly explaining key findings and strategic alternatives.
• Reassess and improve Daymark's benchmarks and methodologies for reconciling value-based care arrangements-leading to improvements in data feeds, clinical interventions, and contract terms.
• Become a subject matter expert in oncology episodes of care and contracting benchmarks.

WHAT WE ARE LOOKING FOR

• Experience. Bachelor's or master's degree in Actuarial Science, Mathematics, Economics, Statistics, or a related quantitative field.You also have 6+ years of healthcare payer experience and healthcare claims forecasting, with in-depth knowledge of Medicare Advantage benchmarking and Medical Loss Ratios.
• Know the ins and outs of value-based care contracting. You've supported the contracting and renegotiation of financial reconciliation methodologies for shared savings programs, including episodic or annual calculations. You also have a deep understanding of Medicare Advantage regulations and experience with commercial risk-based contracts.
• Credentialed. Actuarial credentials such as Fellowship (FSA) or Associate (ASA) in the Society of Actuaries-or equivalent professional designation.
• Strategic communication. Exceptional ability to communicate complex concepts clearly to clients, executives, and non-technical stakeholders.
  Biased to action. You are action-oriented and able to identify, prioritize, and address initiatives quickly.
• Comfort with ambiguity. You thrive in fast-paced, high-growth environments and understand that rapid changes in business strategy and priorities are the norm.
• Player/Coach. You have experience building and leading teams while remaining hands-on-knowing when to dive into details and when to zoom out for big-picture thinking and strategy.
• Mission-driven: You are passionate about improving healthcare outcomes and motivated by Daymark's mission to make a meaningful impact in the lives of patients and providers.

Compensation will vary based on the candidate's experience and ability:
$135,000-$175.000