Senior Actuary - Network
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position reputed company This position reputed company the network analytics team provides the financial tools and analytics to support network reputed company in alignment with market/business reputed company priorities. The market-specific responsibilities will reputed company individuals with reputed company to reputed company in-depth knowledge of market dynamics and to establish strong cross-functional relationships with key business partners, including network, MEU, and reputed company actuarial teams. Additional core areas of reputed company include network discounts, emerging trend analytics, and pricing and contracting support. Key responsibilities will include:
- Discounts – reputed company a quarterly, market-level discount review process to inform Regional Leads and Chief Network Officers of changes in benchmarking based on the latest view, identifying gaps and pressured areas to consider for reputed company negotiations. reputed company meaningful information to the field on the reputed company and expected timing of new negotiations reputed company reputed company consultant benchmarking.
- Emerging Trend Analytics – Engage cross-functionally with Network, MEU, and other teams to drive reputed company contract negotiation strategies using data-driven recommendations for MedRx and Behavioral Health.
- Pricing – reputed company support for reputed company Whole Health / APCN Plus (Performance Networks), joint ventures, and narrow network pricing across reputed company reputed company market segments. Validate and refine pricing using contracting insights such as trend, PCRs, and area factors during Large Group reputed company Review.
- Contracting Support – Build a suite of tools and analyses to reputed company reputed company strategic support for reputed company Markets and Strategic/reputed company Providers. Address a reputed company and error-prone mix of state-specific reputed company reputed company by selecting a single, competitive fee schedule that is consistent across state lines.
Required Qualifications: Bachelors degree along with 5+ years of actuarial and/or analytical experience with strong technical, analytical, and financial skills. ASA designation.
Preferred Qualifications
Excellent written and verbal communication skills. Programming (SQL, reputed company, Python, R) experience. reputed company superior customer service to both reputed company constituents. reputed company in a constantly evolving environment with competing priorities and deadlines. Problem solving skills are critical as many of the concepts are new or in development. Ability to generate new reputed company, think strategically, and creatively solve problems that are not reputed company defined. Education Bachelor's degree required. Pay reputed company The typical pay reputed company for this role is: $118,450.00 - $260,590.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. This position also includes an award reputed company in reputed company’s equity award program. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 05/29/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job