Vice President, Actuary

Cityblock Health

Cityblock Health

Accounting & Finance
United States · Remote
Posted on Friday, October 13, 2023

#communityhealth #healthcare

About Us:

Cityblock Health is the first tech-driven provider for communities with complex needs—bringing better care to where it’s needed most, block by block. Founded in 2017 on the premise that “health is local” and based in Brooklyn, we are backed by Alphabet’s Sidewalk Labs along with some of the top healthcare investors in the country.

Our mission is to improve the health of underserved communities. Importantly, our solutions are designed specifically for Medicaid and lower-income Medicare beneficiaries, and we meet our members where they are, bringing care into the home and neighborhoods through our community-based care teams and Virtual Care offerings.

In close collaboration with community-based organizations, local providers, and leading health plans, we are reorganizing the health system to focus on what matters to our members. Equipped with world-class, custom care delivery technology, we deliver personalized primary care, behavioral health, and social services to deliver a radically better experience of care for every member and community we serve.

Over the next year, we’ll grow quickly to bring better care to many more members and their communities. To do this, we need people who, like us, believe that everyone should have good care for what matters to them, in their community.

Our work is grounded in a belief in the power of a diverse community. To close gaps in care and advance equity in the communities we serve, we have to start with making our own team diverse and inclusive. Our ways of working are characterized by creativity, collaboration, and mutual learning that comes from bringing together a community from diverse backgrounds and perspectives. We strive to ensure that every person on the Cityblock team, and every Cityblock member, feels supported and included as a part of our community.

Our Values:

  • Aim for Understanding
  • Be All In
  • Bring Your Whole Self
  • Lean Into Discomfort
  • Put Members First

About the Role:

As the senior leader on the Actuary and Healthcare Economics (AHE) team, the individual in this role will lead the our Valuation Actuary team responsible for performance forecasting, experience monitoring, financial settlements, and risk mitigation for our active markets and drive the organization’s understanding of the drivers of financial performance relative to expectations.

Your work will help our operators understand the drivers of the financial performance with our partners in each market. You will work with members of the Finance and Analytics teams to interpret emerging claims and revenue experience and to forecast changes in these drivers to Cityblock’s business. You will help formulate complex actuarial analytics to be consumable by business leaders.

The partners we work with, the markets we operate in, the membership we serve, varies across different blocks of our business. Also, healthcare data is seldom perfectly clean and consistent, so you must be willing to spend the time to understand the data as a foundational component of your work. You will lead the development and enhancement of the tools available to the actuarial team, in partnership with our Data Platform team.

Building relationships with our plan partners is an essential component of this role. You will liaison with our finance and actuarial counterparts to complete financial settlements, understand emerging insights, and reconcile calculation and data discrepancies. You will partner closely with Cityblock’s Partner Success team in this function.

The AHE team is a highly impactful and talented group. In your role, you will directly manage our Valuation Actuary team, developing emerging leaders on the team and maintaining a high bar for performance. Furthermore, you will drive collaboration across the broader AHE team, ensuring insights translate across teams, all the while increasing Cityblock’s “actuarial intelligence”. As needed, you will serve as the deputy to our Chief Actuary, representing the needs and point of view of the AHE team to our stakeholders across Cityblock.

If you want to come and use your actuarial and leadership skills to contribute and make a difference in the communities we serve, we want to hear from you!

Requirements for the Role:

  • You have a demonstrated track record of leading high performing actuarial teams
  • You have 10+ years of healthcare actuarial experience, including reserving and valuation domain expertise
  • You have experience working with Medicare and/or Medicaid programs, and an understanding of the drivers of revenue and margin under these programs.
  • You have experience with value-based care program design, implementation, and economics
  • You are a strong data background including SQL, with experience navigating non-standard data and partnering with teams internally to improve data processes
  • You are detail-oriented and organized, but able to see the big picture and the bottom line
  • You have strong analytical and problem-solving skills, an intellectual curiosity to understand true underlying trends, and the drive towards continuous process improvement
  • You enjoy a dynamic environment and are able to make progress on multiple projects at the same time

What We’d Like From You:

  • A resume and/or LinkedIn profile
  • A short cover letter, please!

Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.


We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.

We take into account an individual’s qualifications, skillset, and experience in determining final salary. This role is eligible for health insurance, life insurance, retirement benefits, participation in the company’s equity program, paid time off, including vacation and sick leave. The expected salary range for this position is $205,366 to $250,446. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location.

Medical Clearance (for Member-Facing Roles):

You must complete Cityblock’s medical clearance requirements, which include, but may not be limited to, evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation that precludes you from being vaccinated against these diseases.

Covid 19 Update - Please Read:

Cityblock requires those hired into this position to provide proof that they have received the COVID-19 vaccine. Any individuals subject to this requirement may submit for consideration a request to be exempted from the requirement (based on a valid religious or medical reason) on forms to be provided by Cityblock. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. This vaccination requirement is based, in part, on recently established government requirements. The requirement is also based on the safety and effectiveness of the vaccine in protecting against COVID-19, and our shared responsibility for the health and safety of members, colleagues, and community.

The COVID-19 pandemic has severely impacted the health and lives of people around the world, including the vulnerable populations Cityblock serves. As a healthcare provider, Cityblock holds ourselves to the highest standards when promoting the health and safety of those who we serve. Given that the COVID-19 vaccines are one of the most powerful tools to fight this disease and save lives, Cityblock is implementing a COVID-19 booster mandate for Washington, D.C. employees under the guidance of local/state mandates.