Actuary, Valuation
Pearl HealthFull Time
Entry Level & New Grad, Junior (1 to 2 years)
Candidates should possess a strong actuarial background with expertise in forecasting, reserving, and pricing models within value-based care arrangements. A proven ability to analyze complex data, develop advanced actuarial models, and integrate predictive analytics or machine learning is required. Experience in evaluating risk-based contracts, designing risk mitigation strategies, and mentoring junior actuaries is essential. The role demands a deep understanding of industry trends and regulatory developments.
The Senior Managing Actuary will provide expert actuarial guidance for strategic decision-making, interpret multi-source data to assess business trends, and anticipate industry shifts. Responsibilities include leading the development and refinement of forecasting, reserving, and pricing models, creating advanced models for MSK utilization and cost savings, and integrating predictive analytics. The role also involves evaluating risk-based contracts, designing risk mitigation strategies, analyzing contract performance, collaborating with cross-functional teams, mentoring actuarial staff, and presenting findings to senior leadership.
Personalized care navigation for musculoskeletal pain
TailorCare provides personalized healthcare services for patients experiencing joint, back, and muscle pain. The company focuses on creating specialized treatment plans for individuals with musculoskeletal issues. Their approach involves care navigation, where they connect patients with specialists, coordinate appointments, and explain treatment options, ensuring that patients receive tailored care that meets their specific needs. Unlike many competitors, TailorCare partners with health plans and risk-bearing entities, allowing them to offer their services at no additional cost to patients. The goal of TailorCare is to empower patients to make informed decisions about their health, improve patient outcomes, and reduce unnecessary treatments, ultimately leading to cost savings for both patients and healthcare partners.