Offer summary

Qualifications:

Bachelor's or Master's degree in Actuarial Science, Mathematics, Statistics or related field, Associate of the Society of Actuaries (ASA) required, 4-7 years of actuarial experience in healthcare, Excellent programming skills in SQL and/or Python.

Key responsabilities:

Develop and troubleshoot complex scripts and reports using SQL, Excel

Produce monthly financial reporting including IBNR estimates

Job description

About TailorCare

TailorCare is transforming the experience of specialty care. Our comprehensive care program takes a deeply personal, evidence-based approach to improving patient outcomes for joint, back, and muscle conditions. By combining a careful assessment of patients’ symptoms, health histories, preferences, and goals with predictive data and latest evidence-based guidelines, we help patients choose—and navigate—the most effective treatment pathway for them, every step of the way.

TailorCare values the experiences and perspectives of individuals from all backgrounds. We are a highly collaborative, curious, and determined team passionate about scaling a high-growth start-up to improve the lives of those in pain. TailorCare is a remote-first company with a hybrid office in Nashville.

About the Role

We are seeking an Associate Actuary to join our Actuarial & MedEcon team. You will have a key role in TailorCare’s expansion and in bringing our comprehensive MSK services to more patients through risk-based partnerships with health plans and other risk-bearing entities. Your responsibilities will include refining our pricing models to ensure they align with industry best practices, establishing risk mitigation strategies to help evaluate our risk-based contracts with clients, and working closely with our growth team.

Primary 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

Qualifications

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.
Value-based care deal experience is a plus

What's In It For You

Meaningful work each day, we care deeply about our mission, our patients, and each-other.
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.
An inclusive workplace where you can lean on your teammates, offer candid feedback, and bring your true self to work each day.

TailorCare seeks to recruit and retain staff from diverse backgrounds and encourages qualified candidates to apply. TailorCare is an equal opportunity employer and does not discriminate on the basis of age, sex, gender identity/expression, sexual orientation, color, race, creed, national origin, ancestry, religion, marital status, political belief, physical or mental disability, pregnancy, military, or veteran status.

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