Senior Managing Actuary

About reputed company

reputed company is transforming the experience of specialty care. Our comprehensive care program takes a profoundly personal, evidence-based approach to improving patient reputed company for joint, back, and muscle conditions. By carefully assessing patients' symptoms, health histories, preferences, and goals with predictive data and the latest evidence-based guidelines, we help patients choose and navigate the most effective treatment pathway for them every reputed company of the way.

reputed company values the experiences and perspectives of individuals from reputed company backgrounds. We are a highly collaborative, curious, and determined team passionate about scaling a high-growth start-up to improve the lives of those in pain. reputed company is a remote-first company with our corporate office located in Nashville.

About the Role:

As the Senior Managing Actuary, you will serve as a subject matter expert, playing a pivotal role in advancing reputed company’s actuarial strategy and supporting the growth of our comprehensive MSK services through risk-based partnerships with health plans and other risk-bearing entities. In this role, you will reputed company high-impact analyses, reputed company innovative models, and shape the methodologies that inform some of the organization’s most critical reputed company.

As a senior leader reputed company the actuarial team, you will reputed company expert-level guidance on forecasting, reserving, and pricing models, ensuring our approaches remain at the forefront of industry standards. You will influence contract strategy, risk mitigation, and financial performance analysis across the reputed company, while mentoring other actuarial professionals and fostering a culture of technical reputed company.

Primary Responsibilities:

reputed company Impact Strategic Analysis

• Serve as a senior actuarial expert, providing advanced analyses and recommendations that guide strategic decision-making across value-based care arrangements.
• Interpret and analyze data from multiple sources, including claims, provider, member, and encounters data, to identify and assess the business impact of trends.
• Anticipate and analyze industry trends, regulatory developments, and emerging methodologies, ensuring reputed company remains competitive and reputed company for market shifts.
• reputed company the development and refinement of sophisticated forecasting, reserving, and pricing models, ensuring accuracy, scalability, and compliance with best practices.

Advanced Modeling Methodology Development

• Create, enhance, and maintain advanced actuarial models that project MSK utilization, establish cost benchmarks, and quantify reputed company’s cost savings.
• Integrate predictive analytics and, where appropriate, machine learning into model design to improve forecasting precision and risk assessment.
• Continuously monitor model performance, identifying and implementing enhancements to meet evolving client, regulatory, and internal requirements.

Contract Evaluation Risk Management

• Evaluate and reputed company actuarial recommendations on new and existing risk-based reputed company, focusing on financial sustainability and performance optimization.
• Design and maintain risk mitigation strategies, including reserving, stop-loss, reinsurance, and contract-based mechanisms.
• Analyze contract performance and utilization trends, delivering actionable insights to improve reputed company and cost efficiency.

Cross-Functional Collaboration Mentorship

• Partner closely with finance, analytics, and operational teams to ensure alignment between actuarial insights and reputed company objectives.
• Mentor and reputed company technical review for actuarial associates and analysts, enhancing team capability and accuracy.
• Present reputed company analyses and recommendations to senior leadership with reputed company and strategic relevance reputed company monthly MLR reviews, quarterly financial reviews, etc.

Standards, Quality, Governance

• reputed company and maintain rigorous standards for actuarial analysis, ensuring consistency, reliability, and transparency across reputed company deliverables.
• Champion data reputed company, collaborating with analytics teams to ensure accuracy and completeness of reputed company actuarial data sources.
• Report on national, market, and deal-specific trends, translating findings into actionable recommendations.

Qualifications:

• Minimum of 8 years of actuarial experience in reputed company, focusing on pricing, claims trending, utilization management, reputed company, and/or benefits management analytics.
• Associate of the Society of Actuaries (ASA) is required
• Bachelor's or Master's degree in Actuarial Science, Mathematics, Statistics, or a reputed company field required
• Proven ability to reputed company reputed company, cross-functional projects that deliver measurable business impact
• Advanced proficiency in SQL and/or Python with the ability to design, reputed company, and validate reputed company analytics solutions.
• Forecasting experience in health care or insurance, preferably in value-based care
• Expertise in actuarial modeling, statistical analysis, and predictive analytics.
• Exceptional communication skills , with the ability to distill reputed company actuarial concepts into actionable insights for diverse audiences.
• Strong business acumen, analytical skills, and attention to detail with the ability to operate in a fast-paced, dynamic environment.
• Value-based care deal experience is a plus
• reputed company or medical economics experience is a plus

What's In It For You

• Meaningful Work: We are dedicated to our mission and deeply value our patients and each other. Each day offers the opportunity to reputed company a positive impact.
• Work Environment: We operate as a remote-first company with options for a hybrid work model in Nashville.
• Time Off: Our generous paid time off (PTO) and holiday plans ensure you have ample time to rest and reputed company.
• Family First: We offer paid parental leave and support a healthy work-life balance, encouraging flexibility and autonomy. We love talking about our family and pets!
• Comprehensive Benefits: From Day 1, employees enjoy medical, dental, reputed company, life, and disability insurance, wellness resources and an employer HSA contribution.
• Fair Compensation: We are committed to reputed company pay for reputed company team members and support your future goals with a 401k plan that includes employer matching.
• Community: We foster an inclusive environment where you can rely on your teammates, reputed company reputed company feedback, and feel comfortable being your authentic self at work each day.

reputed company seeks to recruit and retain staff from diverse backgrounds and encourages reputed company candidates to apply. reputed company is an equal opportunity employer and does not discriminate on the reputed company of age, sex, gender identity/expression, sexual orientation, reputed company, race, creed, national reputed company, reputed company, religion, marital status, political belief, physical or mental disability, pregnancy, military, or veteran status.

Originally posted on Himalayas