Actuary

• Design and execute analyses that evaluate clinical, operational, and financial performance across markets and programs.
• Build and maintain actuarial models that estimate total cost of care, risk adjustment, savings performance, and value-based contract projections.
• Support quarterly and annual reconciliation processes for shared savings and cost containment programs.
• Develop predictive models to identify high-risk populations and opportunities for intervention.
• Own key dashboards and reporting tools that track MSK performance across cost, utilization, access, and outcomes metrics.
• Partner with operations and market management teams to analyze referral volumes, patient engagement, and care pathway efficiency.
• Collaborate with the clinical team to assess patient-reported outcomes (PROs), treatment effectiveness, and adherence patterns.
• Serve as a key partner to the sales and contracting teams by providing actuarial input for payer proposals and renewals.
• Work closely with the data engineering team to ensure data integrity, accuracy, and accessibility across claims, EMR, and operational systems.
• Translate complex analyses into clear, actionable insights for leadership and external partners.
• Identify gaps or inconsistencies in existing analytics workflows and propose improvements to enhance automation, accuracy, and interpretability.
• Stay current with CMS, Medicare Advantage, and commercial payer methodologies related to risk adjustment, cost benchmarking, and value-based payments.

Senior Actuarial Analyst

Head of Actuarial Reserving and Capital Modeling

Actuarial Analyst II

Actuarial Analyst II

Vice President, Actuarial – Employee Benefits