Actuarial Provider Network Analysis and Pricing Director
US$156,500 – US$234,500 / yr base salary
Posted 18 Aug 2026
Advertised as “Director, Actuarial Provider Network Analysis and Pricing ”
BranchFactor Summary
The original posting with the fluff stripped out
- Expected experience
- 8+ yrs
- Management level
- People management
- Employment
- Hybrid
| Base salary | US$156,500 – US$234,500 / yr |
|---|
CertificationsAssociate of the Society of Actuaries, Fellow of the Society of Actuaries
About Judi Health
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.
Location: Hybrid (3 days per week in our NYC, Denver or Charlotte offices)
Position Summary
The Director, Actuarial Provider Network Analysis and Pricing is part of the growing Judi Care Actuarial and Underwriting team, which partners with the network team to ensure our contract negotiations, network strategy, and understanding of our network performance are informed by reliable data and modeling. This role serves as the team lead and is a leadership level role that will engage regularly with network, sales, and underwriting leadership. This is the initial team member focused on provider network analysis and will work alongside Actuarial and Underwriting leadership to build out the team. The work will require knowledge and experience of pricing, provider contracting, network strategy, and how they impact unit cost and overall trends and product & network financial performance.
Position Responsibilities:
- Network analytics infrastructure: Lead and own the build out infrastructure to leverage market and transparency data for contract analysis with an ultimate focus on total cost of care.
- Negotiation strategy support: Coordinates, performs modeling and presents analyses to influence our negotiation strategy for contracts including, but not limited to, fee for service, bundles, and capitation. Considers impact of network composition changes (i.e. removal or addition of network providers with transition to other providers and sites of care).
- Pricing analysis: Lead the the efforts to price and quantify impact of provider tiering, episode level, and other network innovations that will drive higher quality and affordability, rolling up to employer group pricing.
- Network strategy analysis: Partners with the provider contracting and delivery system teams to develop network strategy and tools to support their negotiations.