TailorCare

Actuary

• Serve as a senior actuarial expert, providing advanced analyses and recommendations that guide strategic decision-making across value-based care arrangements.
• Interpret and analyze data from multiple sources, including claims, provider, member, and encounters data, to identify and assess the business impact of trends.
• Anticipate and analyze industry trends, regulatory developments, and emerging methodologies, ensuring TailorCare remains competitive and prepared for market shifts.
• Lead the development and refinement of sophisticated forecasting, reserving, and pricing models, ensuring accuracy, scalability, and compliance with best practices.
• Create, enhance, and maintain advanced actuarial models that project MSK utilization, establish cost benchmarks, and quantify TailorCare’s cost savings.
• Integrate predictive analytics and, where appropriate, machine learning into model design to improve forecasting precision and risk assessment.
• Continuously monitor model performance, identifying and implementing enhancements to meet evolving client, regulatory, and internal requirements.
• Evaluate and provide actuarial recommendations on new and existing risk-based contracts, focusing on financial sustainability and performance optimization.
• Design and maintain risk mitigation strategies, including reserving, stop-loss, reinsurance, and contract-based mechanisms.
• Analyze contract performance and utilization trends, delivering actionable insights to improve outcomes and cost efficiency.
• Partner closely with finance, analytics, and operational teams to ensure alignment between actuarial insights and enterprise objectives.
• Mentor and provide technical review for actuarial associates and analysts, enhancing team capability and accuracy.
• Present complex analyses and recommendations to senior leadership with clarity and strategic relevance via monthly MLR reviews, quarterly financial reviews, etc.
• Develop and maintain rigorous standards for actuarial analysis, ensuring consistency, reliability, and transparency across all deliverables.
• Champion data integrity, collaborating with analytics teams to ensure accuracy and completeness of all actuarial data sources.
• Report on national, market, and deal-specific trends, translating findings into actionable recommendations.

Senior Managing Actuary

Project Manager

• TailorCare is transforming the experience of specialty care, improving outcomes for joint, back, and muscle conditions through evidence-based, personalized care.
• Lead and manage end-to-end project lifecycles, ensuring alignment with organizational strategy and enterprise goals
• Support the successful implementation of new partnerships by managing timelines, deliverables, and cross-functional coordination
• Partner closely with internal stakeholders and external partners to ensure clear communication, expectations management, and timely issue resolution
• Collaborate with internal stakeholders to define project scope, goals, timelines, and deliverables
• Track and manage project milestones, scope, performance metrics, and budgets across enterprise-level initiatives
• Identify and mitigate risks and roadblocks to ensure timely execution
• Contribute to the continuous improvement of project planning tools, templates, dashboards, and reporting mechanisms
• Collaborate with senior leadership to align project execution with strategic business objectives
• Facilitate project planning sessions, retrospectives, and status meetings with internal and external stakeholders
• Support change management initiatives and process improvement efforts by identifying inefficiencies and implementing data-driven, scalable solutions

Project Manager, Performance Excellence

Clinical Operations

• TailorCare is transforming the experience of specialty care by improving patient outcomes for joint, back, and muscle conditions.
• Lead and grow product organization, hiring, guiding, coaching, and developing product talent.
• Establish and amplify product culture focused on customer problems, incremental delivery, and continuous iteration.
• Define product lines and areas of ownership for product managers and empower strategic vision.
• Communicate progress, resolve dependencies, celebrate wins, and collaborate closely with engineering.
• Guide product and technical teams to move quickly and deliver high quality solutions including patient data management, patient engagement channels, and ML-aided clinical decision support.
• Serve as thought partner with VP of Product to set product vision and make long-term bets.
• High growth potential for personal development and building a strong organization from the ground up.

Senior Managing Actuary

Project Manager, Performance Excellence

Director of Product, Clinical Operations Platform