Associate Actuary

TailorCare

2d•Remote

About The Position

TailorCare is transforming the experience of specialty care. Our comprehensive care program takes a profoundly personal, evidence-based approach to improving patient outcomes for joint, back, and muscle conditions. By carefully assessing patients' symptoms, health histories, preferences, and goals with predictive data and the 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 our corporate office located in Nashville. We are seeking an Associate Actuary to join our Actuarial 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.

Requirements

Bachelor's or Master's degree in Actuarial Science, Mathematics, Statistics, or a related field
Associate of the Society of Actuaries (ASA) required
Minimum 4–7 years of actuarial experience in healthcare, with a focus on pricing, claims trending, utilization management, underwriting, and/or benefits analytics
Excellent computer programming skills in SQL required; Python or R strongly preferred
Expertise in actuarial modeling, statistical analysis, and predictive analytics
Exceptional communication skills, with the ability to effectively collaborate with and influence cross-functional teams
Strong analytical and problem-solving abilities with keen attention to detail
Ability to work collaboratively in a fast-paced, dynamic startup environment

Nice To Haves

Value-based care deal experience is a plus
Ability and willingness to travel up to 10% as needed for onsite meetings, team collaboration, and company events.

Responsibilities

Develop and troubleshoot complex scripts and reports using SQL, Python, and Excel to support actuarial and financial analyses
Produce monthly VBC financial reporting, including IBNR estimates, for finance
Develop and maintain models supporting pricing, population health, and financial analysis across the enterprise
Interpret and analyze data from multiple sources — claims, provider, member, and encounters — to identify and assess the business impact of trends
Create pricing models and lead pricing on all new TailorCare deals, including building and refining deal-level models
Review contracts on new and existing deals from an actuarial lens
Evaluate medical cost and utilization trends and contract performance across all existing TailorCare deals
Create and maintain risk mitigation strategies, including contract-based protections, reserving, stop-loss, and reinsurance
Create and maintain innovative models that project MSK utilization, 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
Report on national, market, and deal-specific trends to support internal and external stakeholders
Champion TailorCare's mission, values, and operating principles
Other duties as assigned