Manager, Actuarial Services jobs in United States
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Imagine Pediatrics · 1 week ago

Manager, Actuarial Services

Imagine Pediatrics is a tech-enabled, pediatrician-led medical group focused on enhancing care for children with special health care needs. The Manager, Actuarial Services will lead an actuarial team to conduct analytics that support a value-based care model for pediatric Medicaid populations, while managing key projects related to financial performance and reporting.

Child CareHospitalMedical

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

Qualification

Society of Actuaries certificationHealth actuarial experienceValue-based reimbursement strategiesMedicaid managed care experienceSQL skillsTraining junior staffCommunicatorBusiness acumenLeadership experienceProblem-solving skills

Required

Associate or Fellow of the Society of Actuaries
Bachelor's degree
Minimum of 5 years of health actuarial experience
Minimum of 2 years of Medicaid managed care 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

Preferred

Experience with value-based reimbursement strategies and affordability initiatives
Experience negotiating Medicaid managed care capitation rates
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

Company

Imagine Pediatrics

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Imagine Pediatrics is a virtual healthcare service for children with complex medical conditions.

Funding

Current Stage
Growth Stage
Total Funding
$104.62M
2025-09-17Series B· $67M
2025-03-12Series A· $37.62M

Leadership Team

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Meghan Haycraft
Co-Founder and SVP Clinical Product
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Taylor Beery
Co-Founder, Chief Innovation and Administrative Officer
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Company data provided by crunchbase