Actuary

About TailorCare

TailorCare is transforming the experience of specialty care. Our comprehensive care program takes a deeply personal, evidence-based approach to improving patient outcomes for joint, back, and muscle conditions. By combining a careful assessment of patients’ symptoms, health histories, preferences, and goals with predictive data and latest evidence-based guidelines, we help patients choose—and navigate—the most effective treatment pathway for them, every step of the way.

TailorCare values the experiences and perspectives of individuals from all backgrounds. We are a highly collaborative, curious, and determined team passionate about scaling a high-growth start-up to improve the lives of those in pain. TailorCare is a remote-first company with a hybrid office in Nashville.

About the Role

We are seeking an Actuary to join our Actuarial & MedEcon team. You will have a key role in TailorCare’s expansion and in bringing our comprehensive MSK services to more patients through risk-based partnerships with health plans and other risk-bearing entities. Your responsibilities will include refining our pricing models to ensure they align with industry best practices, establishing risk mitigation strategies to help evaluate our risk-based contracts with clients, and working closely with our growth team. 

Primary Responsibilities

• Lead teams or workgroups or manage cross-department initiatives 
• Mentor, guide, and review work of junior team members like associates or analysts
• Develop and troubleshoot complex scripts and reports using SQL, Excel, or other analytics tools
• Produce monthly VBC financial reporting including IBNR estimates for finance
• Develop models to support various actuarial, population health, and financial analysis across enterprise
• Interpret and analyze data from multiple sources including claims, provider, member, and encounters data to identify and assess the business impact of trends
• Create pricing models and support pricing on all new TC deals
• Review contracts on new and existing deals from an Actuarial lens
• Evaluate medical cost and utilization trends and contract performance on all existing TC deals
• Create and maintain risk mitigation strategies (e.g., contract-based, reserving, stop-loss and/or re-insurance, etc.)
• Create and maintain innovative models that project MSK utilization, MSK cost benchmarks, and TailorCare’s cost savings
• Develop reserving methodology, calculate monthly IBNR, and report contract performance and insights into cost drivers
• Continuously monitor and improve models to ensure they meet the evolving needs of clients, regulatory requirements, and internal stakeholders
• Develop standards and processes to ensure the accuracy, reliability, and relevance of actuarial models, analyses, and reports
• Reporting on national, market, and deal-specific trends 
• Champion TailorCare’s mission, values, and operating principles

Qualifications

• Strategic thinking with the ability to link actuarial work to company goals
• Excellent computer programming skills in SQL and/or Python are essential. 
• Bachelor's or Master's degree in Actuarial Science, Mathematics, Statistics, or a related field
• An Associate of the Society of Actuaries (ASA) is required
• The candidate should have a minimum of 5-8 years of actuarial experience in healthcare focusing on pricing, claims trending, utilization management, underwriting, and/or benefits management analytics.
• Candidates should have expertise in actuarial modeling, statistical analysis, and predictive analytics. 
• Exceptional communication skills are a must, with the ability to effectively collaborate and influence cross-functional teams. 
• Strong analytical and problem-solving abilities with a keen attention to detail.
• Ability to work collaboratively in a fast-paced, dynamic environment.
• Value-based care deal experience is a plus

What's In It For You

• Meaningful Work: We are dedicated to our mission and deeply value our patients and each other. Each day offers the opportunity to make a positive impact.
• Work Environment: We operate as a remote-first company with options for a hybrid work model in Nashville.
• Time Off: Our generous paid time off (PTO) and holiday plans ensure you have ample time to rest and recharge.
• Family First: We offer paid parental leave and support a healthy work-life balance, encouraging flexibility and autonomy. We love talking about our family and pets! 
• Comprehensive Benefits: From Day 1, employees enjoy medical, dental, vision, life, and disability insurance, wellness resources and an employer HSA contribution.
• Fair Compensation: We are committed to equitable pay for all team members and support your future goals with a 401k plan that includes employer matching.
• Community: We foster an inclusive environment where you can rely on your teammates, share honest feedback, and feel comfortable being your authentic self at work each day. 

TailorCare seeks to recruit and retain staff from diverse backgrounds and encourages qualified candidates to apply. TailorCare is an equal opportunity employer and does not discriminate on the basis of age, sex, gender identity/expression, sexual orientation, color, race, creed, national origin, ancestry, religion, marital status, political belief, physical or mental disability, pregnancy, military, or veteran status.