Actuary

Summary

Join Imagine Pediatrics, a tech-enabled, pediatrician-led medical group dedicated to providing quality 24/7 care for children with special health care needs. As an Actuary, you will leverage your expertise to conduct and present analytics, supporting a value-based care business model for the pediatric Medicaid population. Key responsibilities include managing performance measurement processes, developing IBNR estimates, partnering with the Healthcare Economics team, analyzing profitability, and preparing analyses for shared savings settlement discussions. This role requires a strong commitment to reimagining pediatric healthcare, a minimum of 5 years of health actuarial experience, strong SQL skills, and excellent communication and analytical abilities.

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
• Strong SQL skills
• 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
• 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

Prior leadership experience is preferred but not required

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