Imagine Pediatrics

Reimagining pediatric health care. Together.

Manager, Actuarial Services

ActuaryActuaryFull TimeRemoteTeam 51-200H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

26 days ago

Salary

$140K - $170K / year

Bachelor Degree5 yrs expEnglishSQL

Job Description

• Manage and develop the processes and internal capabilities necessary to measure performance of value-based / shared savings arrangements and communicate valuable insights to key stakeholders. • Manage monthly development and application of IBNR estimates. • Partner with the Healthcare Economics (claims data analytics) team to demonstrate value our clients achieve with Imagine through the reporting of revenue / risk score trends, healthcare utilization trends, and financial savings. • Analyze profitability by duration, acuity, and resource allocation to inform strategic recommendations to senior leadership. • Work closely with other finance teams to monitor performance against forecasts, analyzing and explaining drivers of variances from revenue, cost, and membership. • Prepare analyses for shared savings settlement discussions with payer partners.

Job Requirements

  • Associate or Fellow of the Society of Actuaries
  • Bachelor’s degree
  • Minimum of 5 years of health actuarial experience, experience with value-based reimbursement strategies and affordability initiatives preferred
  • Minimum of 2 years of Medicaid managed care experience
  • Experience negotiating Medicaid managed care capitation rates is strongly preferred
  • Prior leadership experience is preferred but not required
  • Ability and willingness to train and transfer knowledge to junior level staff
  • Actuarial knowledge of best practices for evaluation, modeling (cost, risk score and revenue) and analytics
  • Strong SQL skills
  • Ability to work effectively in a dynamic and fast-paced environment
  • Strong communicator (both written and verbal) with an ability to break down complex and technical concepts in an easy-to-understand way
  • Strong organizational, documentation and problem-solving skills
  • Strong business acumen and interpersonal skills

Benefits

  • Competitive medical, dental, and vision insurance
  • Healthcare and Dependent Care FSA; Company-funded HSA
  • 401(k) with 4% match, vested 100% from day one
  • Employer-paid short and long-term disability
  • Life insurance at 1x annual salary
  • 20 days PTO + 10 Company Holidays & 2 Floating Holidays
  • Paid new parent leave
  • Additional benefits to be detailed in offer

Related Categories

Related Job Pages

More Actuary Jobs

Senior Actuary

At-Bay

Insurance for the digital age.

Actuary26 days ago
Full TimeRemoteTeam 201-500Since 2017H1B No Sponsor

Senior Actuary driving profitable growth through risk assessment at At-Bay

PythonSQL
California
$150K - $185K / year

Senior Actuarial Analyst, Pricing

At-Bay

Insurance for the digital age.

Actuary26 days ago
Full TimeRemoteTeam 201-500Since 2017H1B No Sponsor

Senior Actuarial Analyst managing pricing and risk assessment at At-Bay

PythonSQL
New York
$120K - $135K / year
Full TimeRemoteTeam 500Since 2015

The Pricing Actuary will analyze pricing strategies, execute rate changes, and develop innovative pricing solutions using data analytics and coding skills in a collaborative team.

GitPythonSQL
California + 2 moreAll locations: California, Texas, New Jersey

Commercial Pricing Actuary

Applied Underwriters

A global risk services firm helping businesses & people manage uncertainty.

Actuary27 days ago
Full TimeRemoteTeam 501-1,000Since 1994H1B Sponsor

Commercial Pricing Actuary utilizing experience in insurance pricing models

United States