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Role Summary

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HIGHLIGHTS

Health actuarial director role leading value-based care contracts at Tuesday Health. You will own settlement calculations, underwriting, pricing, and claims analysis for serious-illness populations. The role is remote with occasional onsite sessions. Ideal for an ASA or FSA with deep experience in alternative payment models.

JOB DESCRIPTION SUMMARY

  • Lead actuarial function for value-based contracts with health plans
  • Calculate customer settlements and reconcile performance against targets
  • Support contract negotiations with actuarial analysis and projections
  • Own underwriting and pricing for new and renewing contracts
  • Produce claims-based reporting and trend analysis for stakeholders

DOMAIN EXPERTISE

  • Value-based care and alternative payment models
  • Claims-based underwriting and pricing
  • Settlement calculations and financial reconciliations
  • Payer contract negotiations
  • Claims data analysis for cost/utilization trends

KEY REQUIREMENTS

  • Substantial actuarial experience in value-based care and alternative payment models
  • Hands-on experience with claims-based underwriting, pricing, and risk assessment
  • Experience leading settlement calculations and financial reconciliations
  • Strong claims data analysis skills to identify cost and utilization trends
  • Bachelor's degree in actuarial science, mathematics, statistics, or related field

TECH STACK

  • No tech stack specified
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Role Summary

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HIGHLIGHTS

Health actuarial director role leading value-based care contracts at Tuesday Health. You will own settlement calculations, underwriting, pricing, and claims analysis for serious-illness populations. The role is remote with occasional onsite sessions. Ideal for an ASA or FSA with deep experience in alternative payment models.

JOB DESCRIPTION SUMMARY

  • Lead actuarial function for value-based contracts with health plans
  • Calculate customer settlements and reconcile performance against targets
  • Support contract negotiations with actuarial analysis and projections
  • Own underwriting and pricing for new and renewing contracts
  • Produce claims-based reporting and trend analysis for stakeholders

DOMAIN EXPERTISE

  • Value-based care and alternative payment models
  • Claims-based underwriting and pricing
  • Settlement calculations and financial reconciliations
  • Payer contract negotiations
  • Claims data analysis for cost/utilization trends

KEY REQUIREMENTS

  • Substantial actuarial experience in value-based care and alternative payment models
  • Hands-on experience with claims-based underwriting, pricing, and risk assessment
  • Experience leading settlement calculations and financial reconciliations
  • Strong claims data analysis skills to identify cost and utilization trends
  • Bachelor's degree in actuarial science, mathematics, statistics, or related field

TECH STACK

  • No tech stack specified

Director Actuarial Services

Tuesday Health

Health/Other/Director Level
Tuesday Health

Director Actuarial Services

Tuesday Health
United States•1d ago
RemoteMedicare AdvantageHealth Other

Job Overview

Salary
Salary not specified
Work Type
Permanent
Full Time

Acturhire Base Salary Estimate

Typical range
$166k - $216k

25th and 75th percentiles

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

Ideal Candidate Profile

Ideal for an ASA or FSA with substantial experience in value-based care and alternative payment models, skilled in claims-based underwriting, settlement calculations, and contract negotiations. Comfortable working remotely and collaborating with cross-functional teams.

Benefits

Health InsuranceDental InsuranceVision InsuranceLife InsuranceGenerous Vacation401(k) PlanRemote First
Fresh Role
Premium Window
1d
1 days ago

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
$166k - $216k

25th and 75th percentiles

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

Ideal Candidate Profile

Ideal for an ASA or FSA with substantial experience in value-based care and alternative payment models, skilled in claims-based underwriting, settlement calculations, and contract negotiations. Comfortable working remotely and collaborating with cross-functional teams.

Benefits

Health InsuranceDental InsuranceVision InsuranceLife InsuranceGenerous Vacation401(k) PlanRemote First
Fresh Role
Premium Window
1d
1 days ago

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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