Senior Network Pricing Actuary
OnsiteHealth OtherPricing & RatingUW Support & Portfolio ManagementBusiness Intelligence & Reporting
Role Summary
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Senior health pricing actuary focused on network pricing and provider contracting for a regional health plan in Pasadena, CA. You will lead complex modeling to support major provider negotiations, drive network performance management, and present insights to senior business partners. Requires an ASA or ACAS and 10+ years of actuarial experience.
JOB DESCRIPTION SUMMARY
- Lead network pricing analyses to support major provider contract negotiations
- Develop and coordinate actuarial models and cash flow/valuation analyses
- Partner with provider contracting, market CFOs, and regional SVP
- Senior individual contributor role based in Pasadena, CA
- Requires ASA or ACAS and 10+ years actuarial experience
DOMAIN EXPERTISE
- Provider contracting and network strategy
- Modeling to support provider negotiations
- Network performance management and analytics
- Product line financials, pricing, reserve, and valuation analysis
KEY REQUIREMENTS
- 10+ years of actuarial experience
- Associate of the SOA (ASA) or CAS (ACAS)
- Demonstrated experience in provider contracting and network strategy
- Proven ability to lead complex modeling and present to senior leaders
- Eligible to work in the US (visa sponsorship not specified)
TECH STACK
- No tech stack specified
