Hybrid Director, Actuarial Network Analytics & Pricing

Judi Health; Charlotte, Denver, New York (NC, CO, NY); Hybrid; USD 156,000 - 196,000; Full time

Job summary

Judi Health is seeking a Director for Actuarial Provider Network Analysis and Pricing to lead provider network analytics and pricing strategy. The role collaborates with network, sales, and underwriting leadership to build a high-performing team focused on total cost of care and network performance.

The position requires extensive actuarial experience, SOA credentials, and leadership in provider contracting analysis, with hybrid work options and close interaction with cross-functional partners.

Qualifications

• Bachelor's degree in mathematics or related field.
• Eight years actuarial experience.
• SOA Associate or Fellow required.
• Equivalent work experience may substitute for degree.

Responsibilities

• Lead and own actuarial provider network analysis and pricing initiatives.
• Support negotiation strategy with pricing and contract analyses.
• Model and price provider tiering and network innovations.
• Develop network strategy tools with contracting and delivery teams.
• Translate actuarial concepts into actionable business advice.
• Develop models to meet business needs.

Skills

Leadership experience

Actuarial experience

Provider contracting analysis

Education

Bachelor's degree in mathematics or related field

Associate of the Society of Actuaries

Fellow of the Society of Actuaries

Tools

SQL

SAS

Python

R

Job description

Judi Health is seeking a Director for Actuarial Provider Network Analysis and Pricing to lead provider network analytics and pricing strategy. The role collaborates with network, sales, and underwriting leadership to build a high-performing team focused on total cost of care and network performance.

The position requires extensive actuarial experience, SOA credentials, and leadership in provider contracting analysis, with hybrid work options and close interaction with cross-functional partners.