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
.png)
Hardware • Other • Appliances
Manages data centre sites across Germany, overseeing LV switchgear and modular power-system commissioning, testing, handover documentation, contractors, project status, and site activities. Leads QHSE compliance through risk assessments, permits, inductions, toolbox talks, incident reporting, and safety controls. Requires strong electrical distribution knowledge, technical drawing interpretation, leadership, client communication, German and English fluency, a valid German driving licence, EU work eligibility, and willingness to travel.
Top Skills:
Control PanelsElectrical Distribution SystemsLv SwitchgearModular Power SystemsPermit To Work SystemsPpeSingle-Line DiagramsTechnical Drawings
Artificial Intelligence • Automotive • Greentech • Information Technology • Machine Learning • Software • Cybersecurity
Provides expert guidance on employee relations issues, conducts and documents workplace investigations, advises leaders and HR partners, interprets policies and employment laws, manages cases, analyzes trends, and supports compliant, equitable resolutions. The role requires strong coaching, conflict resolution, communication, judgment, confidentiality, and stakeholder-influencing skills. It is fully remote for candidates in Eastern or Central U.S. time zones, with travel up to 25% for investigations.
Top Skills:
ClaudeExcelMicrosoft CopilotMS OfficePowerPointServicenowWord
Artificial Intelligence • Automotive • Greentech • Information Technology • Machine Learning • Software • Cybersecurity
Provides expert guidance on employee relations issues, conducts and documents workplace investigations, advises leaders and HR partners, interprets policies and employment laws, manages case records, analyzes trends, and supports legal inquiries. The role requires strong coaching, conflict resolution, communication, judgment, confidentiality, and stakeholder influence. It is fully remote for candidates in Eastern or Central U.S. time zones, with travel up to 25% for investigations.
Top Skills:
ClaudeExcelMicrosoft CopilotMS OfficePowerPointServicenowWord
What you need to know about the Los Angeles Tech Scene
Los Angeles is a global leader in entertainment, so it’s no surprise that many of the biggest players in streaming, digital media and game development call the city home. But the city boasts plenty of non-entertainment innovation as well, with tech companies spanning verticals like AI, fintech, e-commerce and biotech. With major universities like Caltech, UCLA, USC and the nearby UC Irvine, the city has a steady supply of top-flight tech and engineering talent — not counting the graduates flocking to Los Angeles from across the world to enjoy its beaches, culture and year-round temperate climate.
Key Facts About Los Angeles Tech
- Number of Tech Workers: 375,800; 5.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Snap, Netflix, SpaceX, Disney, Google
- Key Industries: Artificial intelligence, adtech, media, software, game development
- Funding Landscape: $11.6 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Strong Ventures, Fifth Wall, Upfront Ventures, Mucker Capital, Kittyhawk Ventures
- Research Centers and Universities: California Institute of Technology, UCLA, University of Southern California, UC Irvine, Pepperdine, California Institute for Immunology and Immunotherapy, Center for Quantum Science and Engineering
