• Own savings forecasts and monthly financial close for all value-based contracts, including shared savings accruals, reserves, and IBNR development. • Build and maintain financial models capturing performance drivers under MLR-based and RCT-based contract structures; monitor cost trends and provide early warnings of variances with recommended actions. • Serve as the technical authority on total cost of care projections, conducting and reviewing sophisticated analyses, cost trend studies, and actuarial modeling as needed. • Lead year-end contract reconciliation with health plan actuaries and provide actuarial/financial guidance during contract negotiations. • Develop underwriting frameworks (MLR targets, performance guarantees, risk corridors) and build methodologies to accurately measure organizational performance across contract structures. • Perform deep-dive cost trend analyses to identify clinical impact opportunities; generate insights that drive clinical model innovation and support strategic planning across market opportunities and growth scenarios. • Serve as the primary technical counterpart to health plan actuaries during data validation, reconciliation, and negotiations. • Lead discussions to resolve methodology differences and communicate findings clearly to non-technical stakeholders. • Develop compelling value narratives and analytical exhibits that translate complex medical economics findings into actionable recommendations. • Build, grow, and lead a best-in-class medical economics and actuarial function. • Develop analytical tools, data infrastructure, and reporting frameworks that improve team efficiency and scale capabilities. • Dive deep into data quality issues and work cross-functionally to resolve discrepancies; write analytical memos and reports that communicate findings to senior leadership.