Director, Value-Based Analytics & Actuarial Strategy

Job Description: Director, Value-Based Analytics & Actuarial Strategy

About Us

SpectraMedix is at the forefront of transforming healthcare, empowering health plans and health systems with the tools and insights they need to provide better, more cost-effective care to the communities they serve. Our cutting-edge platform delivers advanced analytics that help organizations excel in the transition to new value-based payment (VBP) models.

By combining advanced technology with a team of seasoned experts, we provide a unique solution tailored to meet the needs of the healthcare industry during this critical phase of value-based care evolution. Our platform is strategically designed to guide health plans, accountable care organizations, and health systems in their journey toward achieving success in value-based payment initiatives.

We are committed to creating an environment where innovation thrives, employees are empowered to drive meaningful change, and every team member plays a key role in reshaping the value and quality equation in healthcare. Our organization’s long-term stability is grounded in this commitment, and we prioritize our employees' growth, well-being, and success as the foundation for a thriving future—both for them and for the communities we serve.

Our Values

What are we looking for:

SpectraMedix is seeking an accomplished professional with an actuarial or advanced quantitative background who can bridge analytics, product strategy, and client engagement. The ideal candidate will have deep expertise in value-based payment (VBP) arrangements and strong familiarity with the business models of health plans, ACOs, and health systems. This Director-level role is both analytical and strategic—requiring the ability to interpret data-driven insights, guide product strategy, and work directly with payer and provider executives to design, model and operationalize value-based programs. A strong familiarity with actuarial-grade data is needed.

Location: Hybrid(NJ)

• 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

Requirements:

• 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

Preferred:

• 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

Why Join SpectraMedix:

• Influence the evolution of a leading healthcare data and value-based performance platform
• Work directly with national health plans and provider networks to drive measurable impact
• Join a mission-driven team committed to transforming healthcare payment and performance models
• Competitive compensation, benefits, and professional growth opportunities
• Strong verbal and written communication, technical articulation, listening, and presentation skills are essential
• Should have proven analytical and problem-solving skills
• Demonstrated expertise in prioritization, time management, and stakeholder management (both internal and external) is necessary
• Should be a quick learner, self-starter, proactive, and an effective team player
• Must have experience working under tight deadlines within a matrix organizational structure