Summary
Join Imagine Pediatrics as Manager, Actuarial Services and combine your leadership capabilities and actuarial expertise to lead an actuarial team to conduct and present analytics on several business-critical initiatives.
Requirements
- Associate or Fellow of the Society of Actuaries
- Bachelorβs degree
- Minimum of 5 years of health actuarial experience, experience with value-based reimbursement strategies and affordability initiatives 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
Responsibilities
- Develop a process and internal capabilities to measure the performance of value-based / shared savings arrangements and communicate valuable insights to key stakeholders
- Oversee 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