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Role Summary

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HIGHLIGHTS

Director leading actuarial function for a value-based palliative care provider. Owns settlement calculations, pricing, underwriting, and trend analysis for value-based contracts with health plans. Requires deep expertise in alternative payment models and value-based care. Remote role with occasional onsite meetings.

JOB DESCRIPTION SUMMARY

  • Lead customer settlement calculations for value-based contracts
  • Support payer contract negotiations with actuarial analysis
  • Own underwriting and pricing for new and renewing contracts
  • Produce claims-based cost, utilization, and trend reporting
  • Represent Tuesday Health to payer-side actuarial teams

DOMAIN EXPERTISE

  • Value-based care and alternative payment models
  • Claims-based underwriting and pricing
  • Settlement calculations for value-based contracts
  • Payer contract negotiation support
  • Claims trend analysis

KEY REQUIREMENTS

  • Substantial actuarial experience in value-based care or APMs
  • Hands-on claims-based underwriting, pricing, and risk assessment
  • Experience leading settlement calculations and reconciliations
  • Experience supporting payer contract negotiations
  • Strong claims data analysis skills

TECH STACK

  • No tech stack specified
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Role Summary

Loading...

HIGHLIGHTS

Director leading actuarial function for a value-based palliative care provider. Owns settlement calculations, pricing, underwriting, and trend analysis for value-based contracts with health plans. Requires deep expertise in alternative payment models and value-based care. Remote role with occasional onsite meetings.

JOB DESCRIPTION SUMMARY

  • Lead customer settlement calculations for value-based contracts
  • Support payer contract negotiations with actuarial analysis
  • Own underwriting and pricing for new and renewing contracts
  • Produce claims-based cost, utilization, and trend reporting
  • Represent Tuesday Health to payer-side actuarial teams

DOMAIN EXPERTISE

  • Value-based care and alternative payment models
  • Claims-based underwriting and pricing
  • Settlement calculations for value-based contracts
  • Payer contract negotiation support
  • Claims trend analysis

KEY REQUIREMENTS

  • Substantial actuarial experience in value-based care or APMs
  • Hands-on claims-based underwriting, pricing, and risk assessment
  • Experience leading settlement calculations and reconciliations
  • Experience supporting payer contract negotiations
  • Strong claims data analysis skills

TECH STACK

  • No tech stack specified

Director Actuarial Services

Tuesday Health

Health/Other/Director Level
Tuesday Health

Director Actuarial Services

Tuesday Health
United States•2h ago
RemoteMedicare AdvantageHealth Other

Job Overview

Salary
Salary not specified
Work Type
Permanent
Full Time

Acturhire Base Salary Estimate

Typical range
$160k - $213k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

Ideal Candidate Profile

Ideal for a seasoned actuary (FSA/ASA) with deep experience in value-based care and alternative payment models, especially in Medicare Advantage or serious illness populations. Strong claims data analysis and communication skills required.

Benefits

Health InsuranceDental InsuranceVision InsuranceLife Insurance401(k) PlanRemote First
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

Salary
Salary not specified
Work Type
Permanent
Full Time

Acturhire Base Salary Estimate

Typical range
$160k - $213k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

Ideal Candidate Profile

Ideal for a seasoned actuary (FSA/ASA) with deep experience in value-based care and alternative payment models, especially in Medicare Advantage or serious illness populations. Strong claims data analysis and communication skills required.

Benefits

Health InsuranceDental InsuranceVision InsuranceLife Insurance401(k) PlanRemote First
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

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