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Role Summary

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HIGHLIGHTS

Health actuarial leadership role at Pediatric Associates Family of Companies, overseeing the monthly IBNR reserving process for risk-based contracts. You'll collaborate with cross-functional teams to reconcile reserves, develop methodologies, and monitor reserve sufficiency. Ideal for an ASA/FSA with 10+ years of healthcare actuarial experience, including at least 3 years in a health insurance reserving capacity.

JOB DESCRIPTION SUMMARY

  • Oversee monthly IBNR reserve accruals for risk-based contracts
  • Collaborate with accounting, finance, managed care, and clinical teams
  • Develop reserving methodology, documentation, and data validation controls
  • Work directly with payors on financial settlements and reconciliation
  • Monitor reserve sufficiency and recommend provisions for adverse deviations

DOMAIN EXPERTISE

  • Healthcare actuarial reserving
  • Health insurance IBNR estimation
  • Provider contract reserve settlements
  • Managed Medicaid

KEY REQUIREMENTS

  • 10+ years of healthcare actuarial work experience
  • 3+ years of health insurance reserving experience
  • ASA or FSA designation required
  • Member of the American Academy of Actuaries
  • Experience with Managed Medicaid and provider contract reserves

TECH STACK

  • No tech stack specified
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Role Summary

Loading...

HIGHLIGHTS

Health actuarial leadership role at Pediatric Associates Family of Companies, overseeing the monthly IBNR reserving process for risk-based contracts. You'll collaborate with cross-functional teams to reconcile reserves, develop methodologies, and monitor reserve sufficiency. Ideal for an ASA/FSA with 10+ years of healthcare actuarial experience, including at least 3 years in a health insurance reserving capacity.

JOB DESCRIPTION SUMMARY

  • Oversee monthly IBNR reserve accruals for risk-based contracts
  • Collaborate with accounting, finance, managed care, and clinical teams
  • Develop reserving methodology, documentation, and data validation controls
  • Work directly with payors on financial settlements and reconciliation
  • Monitor reserve sufficiency and recommend provisions for adverse deviations

DOMAIN EXPERTISE

  • Healthcare actuarial reserving
  • Health insurance IBNR estimation
  • Provider contract reserve settlements
  • Managed Medicaid

KEY REQUIREMENTS

  • 10+ years of healthcare actuarial work experience
  • 3+ years of health insurance reserving experience
  • ASA or FSA designation required
  • Member of the American Academy of Actuaries
  • Experience with Managed Medicaid and provider contract reserves

TECH STACK

  • No tech stack specified

Actuarial Director, Reserves

Pediatric Associates Family of Companies

Health/Insurer/Director Level
Pediatric Associates Family of Companies

Actuarial Director, Reserves

Pediatric Associates Family of Companies
United States•1h ago
MedicaidHealth Other

Job Overview

Salary
Salary not specified
Years of Experience
10+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a seasoned ASA or FSA with 10+ years in healthcare actuarial work and at least 3 years of health insurance reserving. Possesses deep expertise in IBNR estimation, cross-functional partner skills, and experience with Managed Medicaid and provider contract settlements.

ASAFSAOther

Benefits

Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

Salary
Salary not specified
Years of Experience
10+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a seasoned ASA or FSA with 10+ years in healthcare actuarial work and at least 3 years of health insurance reserving. Possesses deep expertise in IBNR estimation, cross-functional partner skills, and experience with Managed Medicaid and provider contract settlements.

ASAFSAOther

Benefits

Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

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