Director, Actuarial Network Analytics & Pricing

Socket.dev; Charlotte (NC); Hybrid; USD 156,000 - 196,000; Full time

Job summary

Judi Health seeks a Director of Actuarial Provider Network Analysis and Pricing to lead actuarial initiatives across network, pricing, and contracting. You will collaborate with network, sales, and underwriting leaders to inform contract negotiations and strategy using data-driven insights.

The role requires 8+ years actuarial experience, SOA designation, and a track record in provider pricing and network analytics. Hybrid work in NYC, Denver, or Charlotte with competitive USD salary.

Qualifications

• Bachelor's degree in mathematics or related field.
• Minimum eight (8) years actuarial experience.
• Associate of the Society of Actuaries or Fellow of the Society of Actuaries.

Responsibilities

• Lead and own network analytics infrastructure for contract analysis emphasizing total cost of care.
• Support negotiation strategy by modeling and presenting analyses for contracts (fee-for-service, bundles, capitation).
• Price provider tiering, episode-level analyses, and network innovations for employer pricing.
• Collaborate with provider contracting and delivery system teams to develop network strategy tools.
• Translate complex actuarial concepts into actionable recommendations for senior partners.

Education

Bachelor's degree in mathematics or related field

Associate of the Society of Actuaries or Fellow of the Society of Actuaries

Tools

SQL

SAS

Python

R

Job description

Judi Health seeks a Director of Actuarial Provider Network Analysis and Pricing to lead actuarial initiatives across network, pricing, and contracting. You will collaborate with network, sales, and underwriting leaders to inform contract negotiations and strategy using data-driven insights.

The role requires 8+ years actuarial experience, SOA designation, and a track record in provider pricing and network analytics. Hybrid work in NYC, Denver, or Charlotte with competitive USD salary.