Healthcare Actuary for Payer Contracting and Cost Modeling

🌍 Remote, USA πŸš€ Full-time πŸ• Posted Recently

Job Description

Axis Growth Partners is a boutique commercialization consulting firm working with leading behavioral health, metabolic, MSK, and digital health companies. We develop payer-ready economic models, continuity-of-care analyses, and total cost-of-care contracting strategies for regional and national health plans. We are seeking a fractional healthcare actuary to provide actuarial validation, trend adjustments, and payer-aligned economic review across multiple client projects. This is NOT a full-time role and NOT regulatory rate filing work. We need someone who can ensure that our cost-trajectory, PMPM, ROI, and attribution models reflect standard payer actuarial practices and withstand CFO/health plan scrutiny. Responsibilities: β€’ Review ROI and total cost of care models for actuarial consistency β€’ Validate assumptions, trend, variance, utilization modeling, and PMPM math β€’ Normalize data into payer-standard structures (commercial, Medicaid, ASO) β€’ Provide actuarial language for payer packets and contracting materials β€’ Advise on confidence intervals, comparison groups, confounder controls β€’ Recommend adjustments that improve credibility with health plans β€’ Occasional review of guarantee/risk-corridor structures β€’ 5–10 hours per project; ongoing work across multiple clients Requirements: β€’ Prior experience at a health plan actuarial team, Optum, Milliman, Mercer, Oliver Wyman Actuarial, or a similar payer-focused environment β€’ Strong skills in medical cost modeling, trend, PMPM logic, utilization curves β€’ Understanding of digital health or behavioral/metabolic economics a plus β€’ Ability to review work produced by analysts/modelers and provide clear feedback β€’ Excellent written communication for actuarial documentation β€’ Fast turnaround (2–5 day cycles) β€’ No regulatory FSA/ASA signature required β€” payer experience is what matters Deliverables: β€’ Short actuarial review memos β€’ Suggested adjustments to cost/ROI models β€’ Actuarial-consistent language for payer packets β€’ Recommendations to ensure contracting credibility β€’ Optional β€œactuarial validation” line for deliverables Hours: 5–15 hours/month depending on pipeline. This is a long-term relationship with consistent work. Applicants with payer-side actuarial backgrounds or experience validating digital health economic models will be prioritized. Apply tot his job

Ready to Apply?

Don't miss out on this amazing opportunity!

πŸš€ Apply Now

Similar Jobs

Recent Jobs

You May Also Like