Source Job

US

  • Owns the financial infrastructure, controls, and operational oversight for medical, pharmacy, and administrative cost management.
  • Manages vendor financial functions including TPA and PBM reconciliation, payment accuracy, and contract compliance.
  • Leads regulatory compliance, reserve reporting, and actuarial analysis while developing the finance team.

Financial Operations Regulatory Compliance Vendor Management Team Leadership

20 jobs similar to Senior Director, Financial Operations and Actuarial Strategy

Jobs ranked by similarity.

$178,848–$260,820/yr
US Unlimited PTO

  • Own decision-making for actuarial methodologies, model enhancements, and business initiatives.
  • Oversee end-to-end actuarial pricing processes and guide strategic direction.
  • Mentor and develop actuarial team members while collaborating with cross-functional teams.

Oscar Health is a health insurance company built around a full-stack technology platform and a focus on serving members. The company values authenticity, belonging, and diversity among its employees.

$83,500–$129,000/yr
US Unlimited PTO

  • Lead advanced compliance activities for healthcare administrative products including HSAs, FSAs, HRAs, and COBRA.
  • Apply expert regulatory judgment to risk assessments, compliance monitoring, investigations, and corrective actions.
  • Collaborate with stakeholders to integrate compliance requirements into strategic initiatives and leverage AI-powered tools.

HealthEquity empowers healthcare consumers by providing administrative solutions like HSAs, HRAs, FSAs, and COBRA. The company is a large, mission-driven organization that values inclusion and connects health and wealth for American families.

$196,733–$286,902/yr
US Unlimited PTO

  • Lead Oscar's ACA risk adjustment actuarial function, covering financial reporting, forecasting, and strategic analysis.
  • Manage a team and partner across Finance, Risk Adjustment Operations, and Data Science to inform business strategy.
  • Translate risk adjustment performance into clear, actionable insights for senior leadership, reporting to the VP.

Oscar is a health insurance company built around a full-stack technology platform and focused on serving members. Founded in 2012, it cultivates an inclusive environment where people can be their authentic selves.

US

  • Manage post-award financial and administrative activities for sponsored grants and contracts.
  • Oversee award budgets, reconciliations, financial reporting, compliance, and closeout.
  • Support faculty and principal investigators with financial management of sponsored awards.

Emory University is a leading research university that fosters excellence and attracts world-class talent to innovate today and prepare leaders for the future. It is a large, equal opportunity employer with a diverse academic community committed to diversity and inclusion.

$137,500–$182,000/yr
US Unlimited PTO

  • Oversee annual operating plan, budgets, forecasts, and internal financial reporting.
  • Build financial models to identify trends and key business drivers for executive decisions.
  • Lead a team of analysts and partner with departments to drive financial analysis and efficiencies.

HealthEquity empowers healthcare consumers by providing HSAs and health savings solutions that connect health and wealth. The company fosters a mission-driven, inclusive culture focused on innovation, authenticity, and making HSAs as popular as retirement accounts by 2030.

US

  • Own financial performance and profitability, including budgeting, forecasting, and board reporting.
  • Lead revenue cycle management and payer economics to drive cash flow and margin improvements.
  • Oversee business operations, HR, compliance, and ensure scalable systems across multiple states.

We are a Medicaid-first, venture-backed behavioral health company delivering whole-family telehealth care across multiple states. With 170+ clinicians and 219 employees, we are growing quickly and building a clear path to profitability.

US

  • Oversee delegated audits related to UM, Credentialing, Claims, Enrollment, and Appeals processes to ensure compliance with payer contracts.
  • Educate staff, update policies and workflows, and act as a liaison between payers and local market leadership during audits.
  • Operationalize regulatory communications from governing bodies and document process changes for upstream and downstream teams.

Dignity Health Management Services offers integrated management and business services to healthcare providers, focusing on managed care administrative and clinical services to contain costs and improve quality. It is part of CommonSpirit Health, a large health system with a mission-driven culture centered on community and patient care.

US

  • Build and lead Chamber's first compliance function, spanning regulatory, clinical, government programs, IT/security, and internal audit.
  • Partner with legal, clinical, security, and business teams to embed compliance into workflows, technology, and market expansion.
  • Serve as the strategic compliance expert for Medicare/Medicaid, HIPAA, CPOM, and risk-based program development.

Chamber is rebuilding the system for cardiology by partnering with independent cardiologists and equipping them with technology, data, and operational tools. The company is an early-stage, mission-driven team focused on transforming heart health through AI-enabled clinical workflows and human-centered care.

$79,500–$122,500/yr
US Unlimited PTO

  • Manage day-to-day operations and provide strategic direction for the Operations Team.
  • Oversee personnel actions including hiring, training, performance management, and compensation recommendations.
  • Collaborate with cross-functional teams and vendors to improve processes and resolve escalated issues.

HealthEquity empowers healthcare consumers by providing health savings accounts and financial solutions. The company values diversity, inclusion, and authenticity, fostering a culture where every person is valued.

US

  • Directly supervise QA, Grievances & Appeals, and Fraud, Waste & Abuse teams.
  • Interpret federal and state regulations to ensure compliance and drive process improvements.
  • Analyze data in Excel to identify trends, savings, and process improvements.

SIHO Insurance Services provides health insurance administration and related services, focusing on payment integrity and regulatory compliance. The company operates in a managed care environment and emphasizes collaboration, professionalism, and adaptability among its employees.

$61,400–$89,000/yr
US 6w maternity 6w paternity

  • Process sponsor invoices and maintain compliance with GAAP and Uniform Guidance (2 CFR 200) for federal awards.
  • Audit complex financial records, resolve discrepancies, and prepare Federal Financial Reports (SF-425) and other sponsor reports.
  • Support award closeout, monitor accounts receivable, and perform collections while driving continuous process improvement.

Denver Health is an integrated academic healthcare system and Colorado's primary safety-net provider, offering emergency, acute, and community-based care. It is a large, mission-driven organization focused on respect, belonging, and accountability.

US Unlimited PTO

  • Drive global PV Operations strategy, including planning, implementation, and management, in alignment with the Head of DSPV.
  • Oversee vendor oversight, case management, compliance, inspection readiness, and budget/resourcing.
  • Represent DSPV Operations to senior leadership, manage talent, and ensure global regulatory compliance.

Vera Therapeutics is a commercial-stage biotechnology company focused on transforming medicine in autoimmune disease, starting with the kidney. Founded in 2016 and based in Brisbane, California, we foster a culture of empathy, owner's mindset, and urgency because patients are counting on us.

$126,300–$173,700/yr
US

  • Manage a large operations team supporting VA CCN Credentialing and Provider Data Loading.
  • Define operational strategy and align priorities with business goals for efficient, cost-effective infrastructure.
  • Collaborate across Provider teams and Humana Military to improve manual work, enhance data quality, and guide automation priorities.

Humana is a leading U.S. healthcare company offering insurance and healthcare services through its Humana Insurance and CenterWell brands. It is a large organization focused on improving health outcomes and supporting associates with competitive benefits.

$100,000–$120,000/yr
US

  • Review team work for accuracy in nondiscrimination testing and compliance.
  • Provide coaching and training to junior staff based on quality review findings.
  • Monitor regulations and contribute to process improvement initiatives.

The company specializes in retirement plan administration and compliance, ensuring accurate and regulatory-compliant services for clients. It is a growing, nationally distributed organization with a fully remote work environment and a strong focus on continuous learning and professional standards.

US

  • Manage administrative operations and team members across multiple senior living communities.
  • Develop community budgets and business plans to drive census growth and profitability.
  • Ensure highest quality resident care and regulatory compliance across all communities.

Monarch develops customized lifestyle options for senior living with a focus on health and wellness. The team is committed to building progressive communities and supporting future generations, though company size is not specified.

$190,000–$230,000/yr
US Unlimited PTO

  • Oversee accounting operations, including general ledger management, month-end close, and GAAP-compliant financial reporting.
  • Lead and mentor a team of accountants, setting performance goals and providing ongoing coaching and support.
  • Partner with leadership to shape financial policies, internal controls, and support external audit and tax processes.

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. They are committed to improving patient outcomes and quality of life, fostering an innovative and evolving team environment.

$65,000–$70,000/yr
US

  • Owning client onboarding, operational support, and service delivery for assigned clients from go-live through steady state.
  • Managing delegated services including Eligibility, UM, PHM, Claims, Quality, CX, and Credentialing, ensuring compliance.
  • Tracking SLA performance, preparing report-outs, and serving as escalation owner for client operational issues.

Guidehealth is a data-powered healthcare company using AI and predictive analytics to make great healthcare affordable and improve patient outcomes. It is a physician-led, fully remote organization that values empathy, collaboration, and continuous learning.

US

  • Own the end-to-end operating budget process, including framework design, department coordination, and executive reporting.
  • Lead financial transformation initiatives, including the $230M savings program and long-range financial planning.
  • Oversee financial analytics, labor productivity reporting, and board-level performance updates.

Stanford Medicine Children's Health is a world-renowned pediatric healthcare network combining advanced technologies with family-centered care. It provides caregivers with continuing education and state-of-the-art facilities, fostering a culture of caring and innovation.

$76,500–$103,500/yr
US

  • Perform financial analysis across cost accounting, revenue recognition, forecasting, budgeting, variance analysis, and Estimate at Completion (EAC) development.
  • Support monthly close, AP/AR review, contract requirements, and financial reporting to provide actionable insights to management.
  • Collaborate with program managers and finance teams, leveraging AI-enabled tools to enhance productivity and ensure compliance.

The company supports mission-critical initiatives within a Federal Health environment, partnering with finance and program leadership to deliver accurate financial analysis and insights. It fosters a collaborative, detail-oriented culture with an emphasis on professional growth, innovation, and wellness.

$110,000–$130,000/yr
US

  • Lead a large, complex medical affairs and publications account while serving as a strategic partner to clients.
  • Oversee end-to-end execution of abstracts, posters, manuscripts, and related publication assets with compliance and timeline rigor.
  • Drive financial oversight, risk management, and cross-functional collaboration to deliver strategic medical affairs initiatives.

Ashfield MedComms is a global leader in the medical communications space, serving clients across medical affairs, publications, and commercial. As part of Inizio Medical, it connects a full suite of advisory, medical, and marketing services for health and life sciences companies.