Manager, Actuarial Services

Job not on LinkedIn

November 24

🤠 Texas – Remote

Although this job is listed in Texas, this company may be open to hiring remote in other states.

💵 $140k - $170k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Actuary

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Imagine Pediatrics

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Healthcare • Wellness • B2C

Imagine Pediatrics is a healthcare provider focused on delivering specialized pediatric care. The company is dedicated to improving children's health through personalized medical attention, preventive care, and effective treatment options. With a team of experienced professionals, Imagine Pediatrics aims to create a supportive and welcoming environment for children and their families, emphasizing the importance of a healthy start for all individuals.

51 - 200 employees

🧘 Wellness

👥 B2C

📋 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.

🎯 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 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