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Role Summary

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HIGHLIGHTS

Senior health actuarial role focused on network pricing and provider contracting within a regional health plan in Pasadena, CA. You will lead modeling and analyses to support major contract negotiations, present findings to senior leaders, and drive network performance management. Requires actuarial associate credential and extensive actuarial experience.

JOB DESCRIPTION SUMMARY

  • Regional lead for network pricing and provider contracting analytics
  • Develop and oversee modeling to support major contract negotiations
  • Present analyses to VPs of provider contracting, market CFOs, and SVP
  • Coach and delegate to network pricing analysts without direct reports
  • Requires Associate of CAS or SOA and at least 8 years' actuarial experience

DOMAIN EXPERTISE

  • Provider contracting and network strategy
  • Modeling to support major provider negotiations
  • Network performance management and analysis
  • Actuarial documentation for financial reporting and tax

KEY REQUIREMENTS

  • Minimum 8 years of actuarial experience
  • Associate of the CAS (ACAS) OR Associate of the SOA (ASA)
  • Experience with provider contracting and network strategy
  • Ability to present analyses to senior leaders (VP/CFO/SVP)

TECH STACK

  • No tech stack specified
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Role Summary

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HIGHLIGHTS

Senior health actuarial role focused on network pricing and provider contracting within a regional health plan in Pasadena, CA. You will lead modeling and analyses to support major contract negotiations, present findings to senior leaders, and drive network performance management. Requires actuarial associate credential and extensive actuarial experience.

JOB DESCRIPTION SUMMARY

  • Regional lead for network pricing and provider contracting analytics
  • Develop and oversee modeling to support major contract negotiations
  • Present analyses to VPs of provider contracting, market CFOs, and SVP
  • Coach and delegate to network pricing analysts without direct reports
  • Requires Associate of CAS or SOA and at least 8 years' actuarial experience

DOMAIN EXPERTISE

  • Provider contracting and network strategy
  • Modeling to support major provider negotiations
  • Network performance management and analysis
  • Actuarial documentation for financial reporting and tax

KEY REQUIREMENTS

  • Minimum 8 years of actuarial experience
  • Associate of the CAS (ACAS) OR Associate of the SOA (ASA)
  • Experience with provider contracting and network strategy
  • Ability to present analyses to senior leaders (VP/CFO/SVP)

TECH STACK

  • No tech stack specified

Job Overview

Salary
Salary not specified
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Senior health actuary (8+ years) with ACAS or ASA credential experienced in provider contracting and network pricing, skilled at modeling and presenting to senior leaders.

ACASASA

Benefits

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
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Senior health actuary (8+ years) with ACAS or ASA credential experienced in provider contracting and network pricing, skilled at modeling and presenting to senior leaders.

ACASASA

Benefits

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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