Associate Actuary

This opportunity requires a highly analytical financial professional with consistent results in adding value through actuarial and analytical analysis. The Associate Actuary will be responsible and accountable for initiating and leading the development of actuarial studies, underwriting and pricing models, and predictive analyses for the business.

Requirements

Develop comprehensive pricing and underwriting models, including establishment of pricing governance processes and controls, as well as sales support including direct interaction with clients in the form of written and verbal presentations of proposals, assistance with contract negotiations, etc.

Apply actuarial techniques and statistical analyses across several functions, including claim trend analyses, experience studies, medical economics, profitability analysis, risk adjustment, predictive modeling, and/or claim reserving.

Support ongoing financial reconciliation processes for value-based care contracts, including eligibility, revenue, and claims reconciliation as well as ad hoc financial operations reporting, provider network analysis, and fee schedule pricing

Independently initiate and lead the development of complex actuarial studies, analyses, and presentation materials needed to appropriately inform decision makers. Make appropriate recommendations to senior management across teams both within the finance department and across other departments to optimize value-based contract performance

Design, build, and manage risk adjustment models, leveraging public methodologies (e.g., Medicaid, Medicare, Marketplace) as well as proprietary approaches. Ensure model accuracy through calibration, validation, and continuous performance monitoring, and translate outputs into actionable insights for pricing and value-based care strategy.

Actively participate in leadership meetings, preparing and presenting relevant documents, reports and plans in a timely manner

Assist senior leadership in financial models and analysis to support strategic partnerships and initiatives

Process improvements within areas of oversight. Develops and implements plans/projects to improve operational efficiency and effectiveness.

Development of staff and succession planning. Communicates goals, objectives, accountabilities, priorities, and authority parameters to assigned staff. Develop leaders through mentoring and coaching of direct reports.

Bachelor’s degree in mathematics, Statistics, Actuarial Science, Finance, Economics or related field.

ASA in the Society of Actuaries required, FSA preferred

Membership in the American Academy of Actuaries

Minimum of seven (5+) plus years of healthcare actuarial or similar experience.

Proven track record of excelling in high performance, analytic and data-driven cultures and in high growth corporate, venture capital or private equity funded environment.

Possesses and applies a comprehensive and in-depth knowledge of actuarial principles, concepts, practices and processes as well as healthcare claims data

Experience leading diverse teams and managing cross functional projects to drive corporate initiatives

Prior experience in partner/provider analytics, payer-provider contracting, or value-based care

Possesses significant expertise to complete complex assignments and ability to visualize, articulate, and solve complex problems while leading others to complete complex assignments

Ability to present highly technical concepts to technical and non-technical audiences

Excellent communication skills required for client-facing conversations and presentations

Proficiency in SQL, SAS, or an understanding of Python strongly preferred

TurningPoint Healthcare Solutions is an Equal Opportunity Employer.