Independent Actuarial Leadership for Risk-Bearing Healthcare Organizations
Risk Assumptions | Economic Narratives | Investor-Ready | Scalable
Fractional Chief Actuary Services
Senior actuarial leadership when the decision matters—but a full-time hire does not.
I provide fractional actuarial leadership to health tech and venture-backed healthcare organizations that price, manage, or assume healthcare cost risk without full-time actuarial executive infrastructure.
My role is to ensure pricing logic, risk assumptions, and economic narratives remain credible under scale, investor scrutiny, and regulatory exposure—while preserving independence from revenue-aligned vendors.
This model delivers Chief Actuary-level judgment and governance when it matters most, without the cost or rigidity of a full-time executive hire.
What this solves
- Investor-facing pricing narratives that do not survive diligence without actuarial rigor
- Unit economics and risk assumptions that degrade as membership scales
- Risk arrangements (capitation, bundles, downside risk) without executive actuarial governance
- Regulatory, audit, or contract exposure where assumptions must be defensible
- Vendor or partner incentives that bias outcomes and obscure trade-offs
How I help
- Pricing logic & risk assumptions: pressure-test inputs, credibility, and sensitivity; define guardrails
- Economic narrative under scrutiny: translate actuarial uncertainty into board- and investor-ready rationale
- Governance & decision support: build decision frameworks executives can use repeatedly, not one-off models
- Independent validation: review partner/vendor analyses without revenue alignment or implementation bias
- Documentation: diligence-ready artifacts suitable for audit, contracting, and governance
Engagement structure
- Monthly retainer aligned to decision cycles and governance needs
- Fixed-scope support tied to a defined pricing, contracting, or financing decision
- Interim Chief Actuary leadership during rapid growth, pivots, or executive transitions
Independence matters
I do not sell vendor solutions, implementation services, networks, or revenue-aligned products. My role is to pressure-test assumptions, clarify trade-offs, and document defensible actuarial logic—so your strategy remains credible as scrutiny increases.
Contact
If you would like to explore a potential engagement, request an independent perspective, or discuss a challenging analytical or strategic question, you are welcome to reach out. A brief conversation is often the best place to start.
Email: tom.persichetti@persichettillc.com
LinkedIn: Connect on LinkedIn
Prefer to grab time directly?: Schedule a 30-minute meeting
I typically respond within one to two business days.