Value Based Care Jobs in Decatur, IN (NOW HIRING)

About Us:

DOXA is an award-winning specialty insurance platform that acquires and develops niche-market insurance program administrators, underwriting companies, and distribution partners including MGAs, MGUs, brokers, and direct-to-consumer operators. We provide centralized sales, marketing, underwriting, and operational support that helps our companies unlock their full growth potential.

With hundreds of custom specialty insurance programs and partnerships and more than 20,000 agent and broker relationships nationwide, DOXA’s rapid growth is reaching new heights.

Our rapid evolution means we can deliver on something most companies just talk about; building a workplace where talented professionals are drawn to the impact they can make. We offer competitive benefits and compensation, but what really differentiates us is our culture empowerment and commitment to innovation in the specialty insurance space.

If you're an ambitious professional looking to evolve your career, we'd love to talk. Ready to join a community of experts redefining the specialty insurance space?

About Chatham EOL:

Chatham Excess of Loss (EOL) is a specialty healthcare risk business focused on protecting provider organizations participating in value-based care arrangements. We provide Aggregate and Specific Excess of Loss (Stop Loss) coverage to healthcare providers assuming financial risk for medical claims under government and commercial payer contracts.

As value-based care continues to expand across the healthcare ecosystem, Chatham is positioned at the intersection of healthcare finance, actuarial science, and specialty insurance. Backed by DOXA Insurance Holdings and Goldman Sachs Asset Management, we are investing in talent and expertise to support our next phase of growth.

Description:

About the Role

We are seeking an experienced actuary with deep expertise in value-based care and healthcare payer economics to serve as a key strategic partner in our Aggregate Excess of Loss business.

This individual will ,[JB1] help evaluate, price, and manage risk associated with provider organizations participating in increasingly complex value-based care arrangements.

Unlike traditional health plan actuarial roles, this position offers the opportunity to help build and shape a growing business, influence underwriting strategy, and expand Chatham's presence within the rapidly evolving commercial payer market.

This is a highly visible role with significant influence over portfolio growth, risk selection, carrier relationships, and long-term business strategy.

Key Responsibilities

· Partner directly with underwriting leadership to evaluate and price Aggregate Excess of Loss opportunities

· Assess provider risk arrangements involving Medicare Advantage, Commercial, Medicaid, and other value-based care programs

· Analyze healthcare claims experience, provider performance, and financial risk-sharing structures

· Develop actuarial models and pricing methodologies to support underwriting decisions

· Identify and evaluate emerging opportunities within value-based care markets

· Provide insight into payer-provider relationships, reimbursement structures, risk adjustment, and performance incentives

· Help establish underwriting guidelines and risk selection frameworks for new market opportunities

· Support portfolio management efforts by monitoring trends, profitability, and volatility across the book of business

· Serve as a trusted subject matter expert with carrier partners and internal stakeholders

· Collaborate with leadership on strategic growth initiatives and market expansion opportunities

Required Experience

• ASA or FSA designation (or equivalent actuarial credentials)
• 7+ years of actuarial experience within:
  • A major health payer
  • A healthcare consulting organization with significant value-based care exposure
• Deep expertise in value-based care programs and provider risk arrangements
• Strong understanding of healthcare claims analytics, risk adjustment, medical economics, and population health management
• Experience supporting Medicare Advantage, Commercial, Medicaid, ACO, MSSP, or similar risk-bearing programs
• Advanced analytical and modeling capabilities

Preferred Experience

• Experience pricing or evaluating provider risk contracts
• Exposure to stop loss, reinsurance, or risk-transfer products
• Experience working directly with provider organizations, health systems, physician groups, or managed care organizations
• Consulting experience supporting payer and provider clients
• Experience communicating complex actuarial concepts to business leaders and executives

Who Will Thrive Here

The ideal candidate combines actuarial rigor with an entrepreneurial mindset.

You may currently be working within a large health plan or consulting organization and are looking for an opportunity to have a more direct impact on business outcomes. Rather than supporting a highly structured actuarial function, you'll help build strategy, influence underwriting decisions, and shape the future direction of a growing specialty business.

Success in this role requires:

• Intellectual curiosity
• Comfort operating in an evolving environment
• Strong business judgment
• A desire to build rather than maintain
• The ability to move quickly and make informed decisions with imperfect information

Why Join Chatham & DOXA?

• Opportunity to become an actuarial leader, and develop and execute strategy within a growing specialty business
• Direct influence on underwriting, pricing, and portfolio strategy
• Exposure to a unique intersection of healthcare, insurance, and value-based care
• Backed by Goldman Sachs Asset Management through DOXA Insurance Holdings
• Entrepreneurial environment with the resources of a rapidly growing insurance platform
• Phantom equity participation aligned to business performance
• Opportunity to help shape the future of an emerging healthcare risk market

What We Offer

• Flexible remote work environment
• Competitive compensation (based on experience)
• Comprehensive benefits package: Medical, dental, vision, Life & long-term disability insurance, 401(k) with company match, Generous PTO and sick time, Career advancement within a growing specialty insurance platform

Compensation

$175,000-$225,000 (inclusive of base + bonus) + Additional Incentives