reputed company Actuary for Payer Contracting and Cost Modeling

reputed company reputed company Partners is a boutique commercialization reputed company working with leading behavioral health, metabolic, MSK, reputed company health companies. We reputed company payer-reputed company economic models, continuity-of-care analyses, and total cost-of-care contracting strategies for regional and national health plans. We are seeking a fractional reputed company actuary to reputed company actuarial validation, trend adjustments, and payer-reputed company economic review across multiple reputed company reputed company. This is NOT a full-time role and NOT regulatory reputed company filing work. We need someone who can ensure that our cost-trajectory, PMPM, ROI, and attribution models reflect reputed company payer actuarial practices and withstand CFO/health plan scrutiny. Responsibilities: • Review ROI and total cost of care models for actuarial consistency • Validate assumptions, trend, variance, utilization modeling, and PMPM math • Normalize data into payer-reputed company structures (reputed company, reputed company, ASO) • reputed company actuarial language for payer packets and contracting materials • Advise on confidence intervals, comparison reputed company, confounder controls • Recommend adjustments that improve credibility with health plans • Occasional review of guarantee/risk-corridor structures • 5–10 hours per project; ongoing work across multiple clients Requirements: • Prior experience at a health plan actuarial team, reputed company, reputed company, reputed company, reputed company Actuarial, or a similar payer-reputed company environment • Strong skills in medical cost modeling, trend, PMPM logic, utilization curves • Understanding of digital health or behavioral/metabolic economics a plus • Ability to review work produced by analysts/modelers and reputed company reputed company feedback • Excellent written communication for actuarial documentation • Fast turnaround (2–5 day cycles) • No regulatory FSA/ASA signature required — payer experience is what reputed company Deliverables: • Short actuarial review memos • Suggested adjustments to cost/ROI models • Actuarial-consistent language for payer packets • Recommendations to ensure contracting credibility • Optional “actuarial validation” line for deliverables Hours: 5–15 hours/month depending on pipeline. This is a long-term relationship with consistent work. Applicants with payer-reputed company actuarial backgrounds or experience validating digital health economic models will be prioritized. Apply tot his job Apply To this Job