TurningPoint Healthcare Solutions · 2 months ago
Senior Vice President, Value-Based Care (Remote)
United States
Full-time
Remote
Director/Executive
15+ years expTurningPoint Healthcare Solutions is a leader in advanced clinical and technology-enabled complex condition management. The Senior Vice President of Value-Based Care will oversee the strategic direction and quality of all actuarial functions, providing enterprise-level leadership in pricing, forecasting, and regulatory compliance while partnering with executive leadership to support business growth and financial stability.
Health CareHospitalMedical Device
Responsibilities
Serve as the primary actuarial advisor to the Executive Team and Board of Directors, providing guidance on pricing, risk, capital strategy, value-based program performance, and enterprise financial outlooks
Oversight of all aspects of pricing and underwriting strategy, including pricing governance processes and controls, as well as sales support including direct interaction with clients in the form of written and verbal presentations of proposals, assistance with client contract negotiations, etc
Apply actuarial techniques and statistical analysis across several functions, including claim trend analysis, experience studies, medical economics, profitability analysis, predictive and risk-score modeling, and claim reserving
Support and lead a team dedicated to ongoing financial reconciliation processes for value-based care contracts, including eligibility, revenue, and claims performance reconciliation as well as ad hoc financial operations reporting, provider network analysis, and fee schedule pricing
Independently initiate and lead the development of complex actuarial studies, analyses, and presentation materials needed to appropriately inform internal and external decision makers. Make appropriate recommendations to senior management across teams both within the finance department and across other departments to optimize value-based contract performance
Champion continuous improvement by identifying, designing, and implementing initiatives that enhance the efficiency, accuracy, and impact of actuarial and financial reconciliation processes
Establish and enforce best-in-class actuarial governance, modeling standards, documentation practices, and quality controls
Build, lead, and inspire a high-performing actuarial organization with strong technical expertise, business acumen, and leadership capabilities
Drive talent development, succession planning, and leadership growth through coaching, mentorship, and structured performance management
Foster a culture of financial accuracy, curiosity, innovation, accountability, and cross-functional collaboration
Qualification
Required
Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or related field
FSA (Fellowship of the Society of Actuaries) or equivalent professional certification
Minimum of 15+ years related experience and/or training with prior leadership in pricing, reserving, valuation, and/or risk management
Prior experience in partner/provider analytics, healthcare payer contracting, and/or value-based care
Excellent strategic thinking, analytical problem solving, executive presence, and communication capabilities
Strong client relationship management skills and proven success in executive-level client-facing roles
Preferred
Master of Science degree in Actuarial Studies or related discipline
Company
TurningPoint Healthcare Solutions
TurningPoint Healthcare Solutions is a leader in advanced clinical and technology-enabled complex condition management.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
unknownKey Investors
Sopris Capital Associates
2014-04-02Series A
Leadership Team
David Halsey
Chief Clinical Officer
Erica Jones
Chief Medical Officer, Cardiology
Recent News
2025-05-23
2022-10-04
Company data provided by crunchbase