Imagine Pediatrics
Reimagining pediatric health care. Together.
Manager, Actuarial Services
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
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