The Actuarial Manager leads actuarial services for provider relations, value-based contracting, forecasting, and risk assessment. Responsibilities include designing contract performance measures and benchmarks, validating statistical methodologies, supervising actuarial analysts, monitoring underwriting and reserving risk, analyzing risk drivers, and presenting findings to senior financial leadership. The role requires expertise in health insurance actuarial work, commercial and government healthcare programs, pricing, reserving, 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
Artificial Intelligence • Consumer Web • Edtech • Enterprise Web • HR Tech • Social Impact • Generative AI
Own revenue forecasting, business planning, performance reporting, financial modeling, and business analytics for the consumer business. Partner with leaders to define and analyze key metrics, deliver recurring performance updates and deep dives, and generate decision-support insights. Build models covering regional forecasts, LTV/CAC, content benchmarking, and marketing ROI. Improve FP&A processes, systems, reporting automation, data accuracy, and scalability.
Top Skills:
ExcelGoogle SuiteIbm Tm1NetSuiteOracle Essbase
Artificial Intelligence • Healthtech • Insurance • Machine Learning • Payments
Owns relationships, onboarding, implementation, renewals, retention, expansion, and revenue growth for health plan customers. Leads product rollouts, quarterly business reviews, ROI optimization, volume monitoring, executive relationship management, and cross-functional customer feedback. Requires B2B account management or customer success experience, healthcare payment integrity knowledge, SaaS implementation expertise, quota performance, and strong communication and project management skills.
Top Skills:
AISaaS
Artificial Intelligence • Cloud • Consumer Web • Productivity • Software • App development • Data Privacy
Software Engineering Interns will build and ship high-impact software projects across product, infrastructure, customer experience, mobile, and security teams. Responsibilities include designing, developing, testing, and deploying features; collaborating with multidisciplinary teams; participating in agile development and prototyping; applying user-centered design; and learning through mentorship, technical talks, and feedback. The internship is virtual, full-time, and lasts 12 weeks during Summer 2027.
Top Skills:
Cloud InfrastructureGithub CopilotGoJavaScriptMobile ApplicationsPython
What you need to know about the NYC Tech Scene
As the undisputed financial capital of the world, New York City is an epicenter of startup funding activity. The city has a thriving fintech scene and is a major player in verticals ranging from AI to biotech, cybersecurity and digital media. It also has universities like NYU, Columbia and Cornell Tech attracting students and researchers from across the globe, providing the ecosystem with a constant influx of world-class talent. And its East Coast location and three international airports make it a perfect spot for European companies establishing a foothold in the United States.
Key Facts About NYC Tech
- Number of Tech Workers: 549,200; 6% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Capgemini, Bloomberg, IBM, Spotify
- Key Industries: Artificial intelligence, Fintech
- Funding Landscape: $25.5 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Greycroft, Thrive Capital, Union Square Ventures, FirstMark Capital, Tiger Global Management, Tribeca Venture Partners, Insight Partners, Two Sigma Ventures
- Research Centers and Universities: Columbia University, New York University, Fordham University, CUNY, AI Now Institute, Flatiron Institute, C.N. Yang Institute for Theoretical Physics, NASA Space Radiation Laboratory
