Supports reviewing the payor's estimated contract balance against accrued balances and provide data ... Skills to develop and maintain actuarial models to evaluate financial performance, risk, and ...
Supports reviewing the payor's estimated contract balance against accrued balances and provide data ... Skills to develop and maintain actuarial models to evaluate financial performance, risk, and ...
Actuarial Director, Reserves
Plantation, FL · On-site
Supports reviewing the payor's estimated contract balance against accrued balances and provide data ... Skills to develop and maintain actuarial models to evaluate financial performance, risk, and ...
Actuarial Director, Reserves
Plantation, FL · On-site
Supports reviewing the payor's estimated contract balance against accrued balances and provide data ... Skills to develop and maintain actuarial models to evaluate financial performance, risk, and ...
Actuarial Associate 2
West Des Moines, IA · On-site
This may include assisting with modeling, data analytics, product development and/or financial ... Understand customer value propositions. • Understand the basic types of insurance contracts and ...
Actuarial Associate 2
West Des Moines, IA · On-site
This may include assisting with modeling, data analytics, product development and/or financial ... Understand customer value propositions. • Understand the basic types of insurance contracts and ...
Director Rate Setting and Actuarial Modeling
Hartford, CT · On-site
$160K - $190K/yr
Develop actuarial models for new reinsurance and M&A opportunities and manage ALM projections in ... existing in-force contracts and to generate proposals on new business flow arrangements
Director Rate Setting and Actuarial Modeling
Hartford, CT · On-site
$160K - $190K/yr
Develop actuarial models for new reinsurance and M&A opportunities and manage ALM projections in ... existing in-force contracts and to generate proposals on new business flow arrangements
Actuarial Professional
Bloomington, MN · On-site
$67K - $175K/yr
... modeling business processes and outcomes. This role can be filled at the Actuarial Analyst ... Analyzes reinsurance contracts and retention selections. Interfaces with reinsurance broker to ...
Actuarial Professional
Bloomington, MN · On-site
$67K - $175K/yr
... modeling business processes and outcomes. This role can be filled at the Actuarial Analyst ... Analyzes reinsurance contracts and retention selections. Interfaces with reinsurance broker to ...
Actuarial Professional
Bloomington, MN · Hybrid
$67K - $175K/yr
... modeling business processes and outcomes. This role can be filled at the Actuarial Analyst ... Analyzes reinsurance contracts and retention selections. Interfaces with reinsurance broker to ...
Actuarial Professional
Bloomington, MN · Hybrid
$67K - $175K/yr
... modeling business processes and outcomes. This role can be filled at the Actuarial Analyst ... Analyzes reinsurance contracts and retention selections. Interfaces with reinsurance broker to ...
Design and lead actuarial models for medical cost analysis, trend forecasting, and risk ... Provide actuarial support for M&A due diligence, contract negotiations, and new market entry ...
Design and lead actuarial models for medical cost analysis, trend forecasting, and risk ... Provide actuarial support for M&A due diligence, contract negotiations, and new market entry ...
Senior Actuary
Menlo Park, CA · On-site
This role is central to how we engage with payor partners - you'll build the actuarial models, risk ... Develop pricing frameworks and risk-sharing models for payor contracts, including value-based ...
Senior Actuary
Menlo Park, CA · On-site
This role is central to how we engage with payor partners - you'll build the actuarial models, risk ... Develop pricing frameworks and risk-sharing models for payor contracts, including value-based ...
Director of Actuarial Services - Remote
Eden Prairie, MN · On-site +1
... actuarial ... models to support contract negotiations. You'll enjoy the flexibility to work remotely * from ...
Director of Actuarial Services - Remote
Eden Prairie, MN · On-site +1
... actuarial ... models to support contract negotiations. You'll enjoy the flexibility to work remotely * from ...
Actuarial Consultant - Remote
Eden Prairie, MN · On-site +1
$91K - $163K/yr
Build and maintain actuarial models used for forecasting and tracking performance risks associated ... contracts * Provides explanations and interpretations of underwriting analysis to analysts ...
Actuarial Consultant - Remote
Eden Prairie, MN · On-site +1
$91K - $163K/yr
Build and maintain actuarial models used for forecasting and tracking performance risks associated ... contracts * Provides explanations and interpretations of underwriting analysis to analysts ...
Associate Director, Actuarial Services - Remote
Eden Prairie, MN · Remote
$112K - $170K/yr
This position manages analysts responsible for assessing and quantifying risk in riskbased contracts across the provider organization and developing and maintaining actuarial models used to support ...
Associate Director, Actuarial Services - Remote
Eden Prairie, MN · Remote
$112K - $170K/yr
This position manages analysts responsible for assessing and quantifying risk in riskbased contracts across the provider organization and developing and maintaining actuarial models used to support ...
Actuarial Consultant - Remote
Eden Prairie, MN · Remote
$91K - $163K/yr
Build and maintain actuarial models used for forecasting and tracking performance risks associated ... contracts * Provides explanations and interpretations of underwriting analysis to analysts ...
Actuarial Consultant - Remote
Eden Prairie, MN · Remote
$91K - $163K/yr
Build and maintain actuarial models used for forecasting and tracking performance risks associated ... contracts * Provides explanations and interpretations of underwriting analysis to analysts ...
At least one of Pricing, Valuation, Actuarial Modeling, Pension Administration or Contract experience * Pension benefit calculation modeling, testing, or production experience * Project management ...
At least one of Pricing, Valuation, Actuarial Modeling, Pension Administration or Contract experience * Pension benefit calculation modeling, testing, or production experience * Project management ...
Associate Director, Actuarial Services - Remote
Eden Prairie, MN · On-site +1
$112K - $170K/yr
This position manages analysts responsible for assessing and quantifying risk in risk-based contracts across the provider organization and developing and maintaining actuarial models used to support ...
Associate Director, Actuarial Services - Remote
Eden Prairie, MN · On-site +1
$112K - $170K/yr
This position manages analysts responsible for assessing and quantifying risk in risk-based contracts across the provider organization and developing and maintaining actuarial models used to support ...
Associate Actuary
Charleston, SC · On-site +1
Engage in a diverse scope of work, including contract pricing, cost forecasting, and ad hoc ... Prior experience in pricing or actuarial modeling preferred. * Exposure to Value-Based, Risk ...
Associate Actuary
Charleston, SC · On-site +1
Engage in a diverse scope of work, including contract pricing, cost forecasting, and ad hoc ... Prior experience in pricing or actuarial modeling preferred. * Exposure to Value-Based, Risk ...
Senior Director, Chief Actuary (Medicare Advantage) - Kelsey - Seybold Clinics, Houston, TX
$159K - $273K/yr
Leads actuarial modeling and financial analysis for payer contract negotiations and value-based arrangements * Accountable for monthly close actuarial outputs, including IBNR, claims projections, and ...
Senior Director, Chief Actuary (Medicare Advantage) - Kelsey - Seybold Clinics, Houston, TX
$159K - $273K/yr
Leads actuarial modeling and financial analysis for payer contract negotiations and value-based arrangements * Accountable for monthly close actuarial outputs, including IBNR, claims projections, and ...
Pension (Risk Transfer), Actuary, Administrator, Paralegal
Jersey City, NJ · On-site +1
$150/hr
At least one of Pricing, Valuation, Actuarial Modeling, Pension Administration or Contract experience * Pension benefit calculation modeling, testing, or production experience * Project management ...
Pension (Risk Transfer), Actuary, Administrator, Paralegal
Jersey City, NJ · On-site +1
$150/hr
At least one of Pricing, Valuation, Actuarial Modeling, Pension Administration or Contract experience * Pension benefit calculation modeling, testing, or production experience * Project management ...
Senior Director, Chief Actuary (Medicare Advantage) - Kelsey - Seybold Clinics, Houston, TX
Pearland, TX · On-site
$159K - $273K/yr
Leads actuarial modeling and financial analysis for payer contract negotiations and value-based arrangements * Accountable for monthly close actuarial outputs, including IBNR, claims projections, and ...
Senior Director, Chief Actuary (Medicare Advantage) - Kelsey - Seybold Clinics, Houston, TX
Pearland, TX · On-site
$159K - $273K/yr
Leads actuarial modeling and financial analysis for payer contract negotiations and value-based arrangements * Accountable for monthly close actuarial outputs, including IBNR, claims projections, and ...
Because WellBe's contracts with MA plans are structured as value-based care full risk arrangements ... In this role, you will be responsible for updating actuarial financial models [DS1.1], eligibility ...
Because WellBe's contracts with MA plans are structured as value-based care full risk arrangements ... In this role, you will be responsible for updating actuarial financial models [DS1.1], eligibility ...
Because WellBe's contracts with MA plans are structured as value-based care fullrisk arrangements ... In this role, you will be responsible for updating actuarial financial models [DS1.1], eligibility ...
Because WellBe's contracts with MA plans are structured as value-based care fullrisk arrangements ... In this role, you will be responsible for updating actuarial financial models [DS1.1], eligibility ...
Contract Actuarial Modeling information
See salary details
$22K - $34K
0% of jobs
$34K - $46K
1% of jobs
$46K - $58K
10% of jobs
$58K - $70K
13% of jobs
$70.9K is the 25th percentile. Wages below this are outliers.
$70K - $82K
17% of jobs
The median wage is $88.8K / yr.
$82K - $94K
16% of jobs
$105.8K is the 75th percentile. Wages above this are outliers.
$94K - $106K
18% of jobs
$106K - $118K
12% of jobs
$118K - $130K
5% of jobs
$130K - $142K
5% of jobs
$142K - $154K
2% of jobs
$22K
$93.5K
$154K
How much do contract actuarial modeling jobs pay per year?
What are some typical challenges faced by contract actuarial modeling professionals, and how can they be addressed?
What is the difference between Contract Actuarial Modeling vs Actuarial Analyst?
| Aspect | Contract Actuarial Modeling | Actuarial Analyst |
|---|---|---|
| Credentials | Typically requires actuarial exams, relevant certifications | Same as Contract Actuarial Modeling, often pursuing actuarial exams |
| Work Environment | Focus on model development, financial projections, and contract analysis | Data analysis, reporting, and supporting actuarial projects |
| Industry Usage | Insurance, reinsurance, consulting firms | Insurance companies, consulting firms, financial institutions |
Contract Actuarial Modeling involves developing and analyzing financial models for insurance contracts, often with a focus on pricing and reserving. Actuarial Analysts perform data analysis, prepare reports, and support modeling efforts. While both roles require actuarial exams and similar credentials, Contract Actuarial Modeling emphasizes model development and financial projections, whereas Actuarial Analysts focus more on data processing and reporting within the same industry environment.
What are the key skills and qualifications needed to thrive as a Contract Actuarial Modeler, and why are they important?
What is contract actuarial modeling?
Job description
PRIMARY FUNCTIONÂ
The Actuarial Director, Reserves is responsible for establishing the monthly accruals related to risk-based contracts. This role will require collaboration with cross-functional teams, including accounting, FP&A, managed care, clinical, and operations, to reconcile IBNR reserves with financial statements, provide insights into variances and trends, and consider the value of clinical initiatives on the outstanding IBNR.Â
ESSENTIAL DUTIES AND RESPONSIBILITIESÂ
This list may not include all of the duties that may be assigned.Â
Oversees the monthly accrual process, ensuring timely and accurate estimation of surplus/deficits related to risk contracts. Â
Collaborates with cross-functional teams, including accounting, FP&A, managed care, clinical, and operations, to reconcile IBNR reserves with financial statements, provide insights into variances and trends, and consider the value of clinical initiatives on the outstanding IBNR. Â
The role will support the development of a reserving methodology, documentation and data validation controls. Â
Partnering with Finance on financial reporting matters and audit requests.Â
Supports reviewing the payor’s estimated contract balance against accrued balances and provide data-backed findings to the payor, while considering the contract settlement terms. Role will require working directly with payors related to financial settlements and inputs to those settlements.Â
Monitors the sufficiency of reserves, the development of reserve ranges, and supporting recommendations on provisions for adverse deviations. Â
This role will involve moderately complex to complex issues where the analysis of situations requires in-depth data analysis and consideration of variable factors. Critical skills for this role will be possessing the ability to perform data analysis and communicating the impact on the contract balances. Â
This role will require being flexible and a collaborative business partner in a growing organization. Â
SUPERVISORY RESPONSIBILITIESÂ
Oversee the value-based care reserving function at Pediatric Associates.Â
Â
QUALIFICATIONSÂ
EDUCATION: Bachelor’s degree in Actuarial Science, Finance, Healthcare Administration or other related field.  Â
EXPERIENCE:Â Â
10 or more years of healthcare actuarial work experience required. Â
3 years of experience in a health insurance reserving capacity. Â
Experience in establishing provider contract reserves and monitoring of settlements.Â
Experience in Managed Medicaid.Â
LICENSUREÂ /Â CERTIFICATIONÂ
ASA or FSA designationÂ
Member of the American Academy of ActuariesÂ
KNOWLEDGE, SKILLS AND ABILITIESÂ
Skills to develop and maintain actuarial models to evaluate financial performance, risk, and opportunities associated with value-cased care arrangements.Â
Strong proficiency in actuarial modeling software and statistical analysis tools (e.g. Excel, SQL, SAS, R, Python)Â
Strong communication skills, including using exhibits and presentations to translate technical issues for non-actuarial audiences.Â
In-depth understanding of medical economics principles, including healthcare cost analysis, reimbursement methodologies, risk stratification and financial performance metrics.Â
Experience in conducting medical cost trend analysis, utilization review, and forecasting to support strategic decision-making. Â
Ability to think holistically through a projectÂ
About PEDIATRIC ASSOCIATES OF WELLESLEY
Sourced by ZipRecruiter
Company size
11 - 50 Employees
Headquarters location
Weston, MA, US
Year founded
1986