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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

Closed
Health/Insurer/Director Level
Pediatric Associates Family of Companies

Actuarial Director, Reserves

Pediatric Associates Family of Companies

United States · 1mo ago

MedicaidHealth Other
Closed

Job Overview

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

Acturhire Base Salary Estimate

Typical range
$170k - $212k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

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
Shortlist Forming
Closing Soon
34d
34 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

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

Acturhire Base Salary Estimate

Typical range
$170k - $212k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

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
Shortlist Forming
Closing Soon
34d
34 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

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