Manages actuarial services for provider relations, value-based contracting, forecasting, pricing, reserving, and risk assessment. Defines contract performance measures and benchmarks, validates statistical methodologies, supervises actuarial analysts, monitors insurance risk profiles, analyzes key drivers, and presents findings to senior financial leadership. Requires expertise in health insurance, managed care, commercial and government programs, Medicare pricing, medical economics, and risk adjustment.
Company Highlights
- This top ranked Healthcare Company was awarded the #2 “Best Places to Work for Women & Diverse Manager” by Diversity MBA Magazine.
- U.S. News & World Report consistently ranks this company among the nation’s best hospitals in many specialties.
- This company provides generous merit increases, two-week parental leave, and true work-life balance
Benefits and Features
- Medical insurance, including prescription and vision coverage; Dental Insurance
- Flexible spending accounts
- Disability coverage plus basic life and accidental death and dismemberment (AD&D) insurance
- Supplemental life and AD&D insurance for employee
- Supplemental life insurance for employee's spouse and children
- Cash balance plan
- Savings plan
- Paid time off (PTO) and holiday pay
- Tuition assistance for employees, their spouses, and eligible dependents
- Adoption assistance
The Role You Will Play
- The Actuarial Manager, Value-Based Contracts ensures that the Actuarial Department provides excellent services to various internal and external clients in the areas of provider relations, contracting and forecasting.
- The Manager determines the performance measures, associated benchmarks, and other contractual components to include in new-formed value-based contracts as well as assures reliability of measures and statistical methodologies in tracking performance.
- In addition, this role will supervise actuarial analysts.
- This role is entrusted to work closely with Enterprise Risk Management and key internal stakeholders to build and enhance insurance (underwriting and reserving) risk assessment, monitor changes to the risk profile, risk analytics, and understand key drivers as well as present to senior financial leadership.
Community Highlights
- The position can work from a remote home office based within the United States.
- This company is headquartered in Pittsburgh, PA
Background Profile
- Expertise in actuarial value-based contracting, commercial pricing, Medicare pricing, reserving, medical economics, and Medicare or Medicaid risk adjustment.
- 6+ years of progressive Actuarial experience in health insurance, managed care, or related consulting business
- Familiarity with commercial and government health programs
- ASA or FSA required
- Bachelors’ degree in Mathematics, Actuarial Science, or related field
Similar Jobs
eCommerce • Information Technology • Retail • Software
Own Mirakl’s relationships with global systems integrators and consultancies, driving partner-sourced pipeline and revenue. Build SI and consulting go-to-market programs, including enablement, referrals, co-selling, joint marketing, and measurement frameworks. Collaborate closely with Sales, Marketing, and leadership to align partner strategy and execution. The role requires enterprise SaaS, e-commerce, or retail technology experience, named global partner relationships, and a proven record of measurable pipeline contribution.
Top Skills:
E-CommerceEnterprise MarketplacesOrder Management Systems (Oms)SaaSSupply Chain Technology
eCommerce • Information Technology • Retail • Software
Build prospect pipelines by researching enterprise businesses, identifying decision-makers, crafting targeted messaging, and generating engagement. Partner with Enterprise Account Executives on opportunity prioritization and prospecting strategies. Share outbound best practices, use AI to improve efficiency and commercial insight, and develop foundational skills for progression into sales or other departments.
Top Skills:
OutreachSales NavigatorSalesforce
Cloud • eCommerce • Information Technology • Professional Services • Software
Own Cleo’s application and product security program across SaaS and customer-hosted products. Lead SSDLC practices, threat modeling, security tooling, vulnerability management, penetration testing, coordinated disclosure, CVE publication, and NIST CSF controls. Define product security standards, roadmap, secure defaults, access controls, and customer-facing advisories. Partner with engineering, product, architecture, and customers while guiding security engineers and consultants. Also establish protections for LLM applications, AI agents, and AI-assisted development workflows.
Top Skills:
Artifact SigningAWSBurp SuiteCi/CdContainer ScanningCveCyclonedxEksGitGithub Advanced SecurityGoIac ScanningJavaJenkinsKubernetesNist Ai Risk Management FrameworkNist Csf 2.0Nist SsdfOwasp AsvsOwasp SammOwasp Top 10 For Llm ApplicationsPolicy-As-CodePythonRbacSAMLSastSbomScaSecrets ScanningSemgrepSlsaSnykSpdxSsoTerraformTypescriptVex
What you need to know about the Austin Tech Scene
Austin has a diverse and thriving tech ecosystem thanks to home-grown companies like Dell and major campuses for IBM, AMD and Apple. The state’s flagship university, the University of Texas at Austin, is known for its engineering school, and the city is known for its annual South by Southwest tech and media conference. Austin’s tech scene spans many verticals, but it’s particularly known for hardware, including semiconductors, as well as AI, biotechnology and cloud computing. And its food and music scene, low taxes and favorable climate has made the city a destination for tech workers from across the country.
Key Facts About Austin Tech
- Number of Tech Workers: 180,500; 13.7% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Dell, IBM, AMD, Apple, Alphabet
- Key Industries: Artificial intelligence, hardware, cloud computing, software, healthtech
- Funding Landscape: $4.5 billion in VC funding in 2024 (Pitchbook)
- Notable Investors: Live Oak Ventures, Austin Ventures, Hinge Capital, Gigafund, KdT Ventures, Next Coast Ventures, Silverton Partners
- Research Centers and Universities: University of Texas, Southwestern University, Texas State University, Center for Complex Quantum Systems, Oden Institute for Computational Engineering and Sciences, Texas Advanced Computing Center
