Associate Actuary

Turning Point Healthcare Solutions is a leader in advanced clinical and technology-enabled complex condition management. Turning Point provides an innovative suite of specialty care management services and technologies that enable health plans and employers to improve the safety, quality, and affordability of healthcare. Through its platform and specialized team of clinical experts, Turning Point works collaboratively with providers to deliver optimal care. Turning Point offers condition-specific, quality-driven, value-based care management services that optimize care from diagnosis and discovery through recovery.

Turning Point’s comprehensive and integrated suite of services enhances the support individuals need, at the time they need it most. Since launching in 2015, Turning Point has provided support to more than 50 million people nationwide across numerous clinical specialties including musculoskeletal, pain management, cardiology, wound care, ear/nose/throat, and sleep. Turning Point’s model moves beyond denial-based care to holistic condition management that improves outcomes and reduces cost.

Turning Point is an independent organization, not owned or affiliated with a health plan or provider system.

Turning Point Healthcare Solutions is a leader in advanced clinical and technology-enabled complex condition management. Turning Point provides an innovative suite of specialty care management services and technologies that enable health plans and employers to improve the safety, quality, and affordability of healthcare. Through its platform and specialized team of clinical experts, Turning Point works collaboratively with providers to deliver optimal care. Turning Point offers condition-specific, quality-driven, value-based care management services that optimize care from diagnosis and discovery through recovery.

Turning Point’s comprehensive and integrated suite of services enhances the support individuals need, at the time they need it most. Since launching in 2015, Turning Point has provided support to more than 50 million people nationwide across numerous clinical specialties including musculoskeletal, pain management, cardiology, wound care, ear/nose/throat, and sleep. Turning Point’s model moves beyond denial-based care to holistic condition management that improves outcomes and reduces cost.

Turning Point is an independent organization, not owned or affiliated with a health plan or provider system.

This opportunity requires a highly analytical financial professional with consistent results in adding value through actuarial and analytical analysis. The Associate Actuary will be responsible and accountable for initiating and leading the development of actuarial studies, underwriting and pricing models, and predictive analyses for the business.

• Develop comprehensive pricing and underwriting models, including establishment of pricing governance processes and controls, as well as sales support including direct interaction with clients in the form of written and verbal presentations of proposals, assistance with contract negotiations, etc.
• Apply actuarial techniques and statistical analyses across several functions, including claim trend analyses, experience studies, medical economics, profitability analysis, risk adjustment, predictive modeling, and/or claim reserving.
• Support ongoing financial reconciliation processes for value-based care contracts, including eligibility, revenue, and claims reconciliation as well as ad hoc financial operations reporting, provider network analysis, and fee schedule pricing
• Independently initiate and lead the development of complex actuarial studies, analyses, and presentation materials needed to appropriately inform…