Manager Actuarial Services

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Imagine Pediatrics

πŸ“Remote - Worldwide

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
  • Bachelor’s 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
This job is filled or no longer available

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