Healthcare Actuary for Payer Contracting and bolthires Modeling

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 bolthires-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 bolthires-trajectory, PMPM, ROI, and attribution models reflect standard payer actuarial practices and withstand CFO/health plan scrutiny. Responsibilities:• Review ROI and total bolthires of care models for actuarial consistency• Validate assumptions, trend, variance, utilization modeling, and PMPM math• Normalize data into payer-standard structures (commercial, Medicaid, ASO)• Provide actuarial language for payer packets and contracting materials• Advise on confidence intervals, comparison groups, confounder controls• Recommend adjustments that improve credibility with health plans• Occasional review of guarantee/risk-corridor structures• 5–10 hours per project; ongoing work across multiple clientsRequirements:• Prior experience at a health plan actuarial team, Optum, Milliman, Mercer, Oliver Wyman Actuarial, or a similar payer-focused environment• Strong skills in medical bolthires modeling, trend, PMPM logic, utilization curves• Understanding of digital health or behavioral/metabolic economics a plus• Ability to review work produced by analysts/modelers and provide clear feedback• Excellent written communication for actuarial documentation• Fast turnaround (2–5 day cycles)• No regulatory FSA/ASA signature required — payer experience is what mattersDeliverables:• Short actuarial review memos• Suggested adjustments to bolthires/ROI models• Actuarial-consistent language for payer packets• Recommendations to ensure contracting credibility• Optional “actuarial validation” line for deliverablesHours: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