Associate Actuary

Summary

Join TailorCare's Actuarial & MedEcon team as an Associate Actuary and play a key role in expanding our comprehensive MSK services. You will refine pricing models, establish risk mitigation strategies, and collaborate with the growth team. Responsibilities include developing complex scripts and reports, producing financial reporting, creating pricing models, reviewing contracts, evaluating medical cost trends, and developing innovative models. This role requires strong SQL and/or Python skills, an ASA designation, and 4-7 years of actuarial experience in healthcare. The ideal candidate will possess exceptional communication and analytical skills and thrive in a fast-paced environment. TailorCare offers a remote-first work environment, rich PTO, paid parental leave, comprehensive health benefits, and a 401k match.

Requirements

• Excellent computer programming skills in SQL and/or Python are essential
• Bachelor's or Master's degree in Actuarial Science, Mathematics, Statistics, or a related field
• An Associate of the Society of Actuaries (ASA) is required
• The candidate should have a minimum of 4-7 years of actuarial experience in healthcare focusing on pricing, claims trending, utilization management, underwriting, and/or benefits management analytics
• Candidates should have expertise in actuarial modeling, statistical analysis, and predictive analytics
• Exceptional communication skills are a must, with the ability to effectively collaborate and influence cross-functional teams
• Strong analytical and problem-solving abilities with a keen attention to detail
• Ability to work collaboratively in a fast-paced, dynamic environment

Responsibilities

• Develop and troubleshoot complex scripts and reports using SQL, Excel, or other analytics tools
• Produce monthly VBC financial reporting including IBNR estimates for finance
• Develop models to support various actuarial, population health, and financial analysis across enterprise
• Interpret and analyze data from multiple sources including claims, provider, member, and encounters data to identify and assess the business impact of trends
• Create pricing models and support pricing on all new TC deals
• Review contracts on new and existing deals from an Actuarial lens
• Evaluate medical cost and utilization trends and contract performance on all existing TC deals
• Create and maintain risk mitigation strategies (e.g., contract-based, reserving, stop-loss and/or re-insurance, etc.)
• Create and maintain innovative models that project MSK utilization, MSK cost benchmarks, and TailorCare’s cost savings
• Develop reserving methodology, calculate monthly IBNR, and report contract performance and insights into cost drivers
• Continuously monitor and improve models to ensure they meet the evolving needs of clients, regulatory requirements, and internal stakeholders
• Develop standards and processes to ensure the accuracy, reliability, and relevance of actuarial models, analyses, and reports
• Reporting on national, market, and deal-specific trends
• Champion TailorCare’s mission, values, and operating principles

Preferred Qualifications

Value-based care deal experience is a plus

Benefits

• Work from anywhere in the US that best fits your lifestyle, or, for those that enjoy an in-person environment, join teammates in our hybrid hub Nashville
• Rich PTO and holiday plans to ensure you have time away to rest and recharge
• We offer paid parental leave, support a healthy work-life integration, and offer work flexibility – we love to talk about our pets and families
• Medical, dental, vision, life, disability, wellness resources, and an employer HSA contribution all from Day 1
• We are committed to fair and equitable pay for all employees, and we help you achieve your future goals with an employer match 401k