Actuarial Services Manager

Summary

Join Imagine Pediatrics as a Manager, Actuarial Services, leading an actuarial team in analyzing business-critical initiatives for a value-based pediatric Medicaid care model. You will manage processes for measuring performance, develop IBNR estimates, partner with other teams to demonstrate client value, analyze profitability, and prepare analyses for shared savings discussions. This role requires strong actuarial expertise, leadership skills, and excellent communication abilities. Imagine Pediatrics offers a competitive salary, benefits package, and a chance to contribute to a mission-driven organization.

Requirements

• Associate or Fellow of the Society of Actuaries
• Bachelor’s degree
• Minimum of 5 years of health actuarial experience
• 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

Responsibilities

• 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

Preferred Qualifications

• Experience with value-based reimbursement strategies and affordability initiatives
• Prior leadership experience

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
• Competitive base salary
• Competitive company benefits package
• Eligibility to participate in an employee equity purchase program (as applicable)