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Role Summary

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HIGHLIGHTS

Manager-level health actuarial role supporting Medicaid value-based care for a pediatric provider in Texas. You will lead actuarial analyses including shared-savings calculations, monthly IBNR development, profitability and variance analysis, and present results to senior leadership and payer partners.

JOB DESCRIPTION SUMMARY

  • Lead actuarial team to measure value-based / shared savings arrangements
  • Develop and apply monthly IBNR and reserving estimates
  • Partner with claims analytics to report revenue, risk score, and utilization trends
  • Prepare analyses for shared savings settlement discussions with payers
  • Manager-level role focused on Medicaid managed care value-based programs

DOMAIN EXPERTISE

  • Health actuarial experience
  • Medicaid managed care experience
  • IBNR and reserving estimation
  • Value-based care/shared savings analysis
  • Strong SQL skills

KEY REQUIREMENTS

  • Associate or Fellow of the Society of Actuaries (ASA or FSA)
  • Bachelor’s degree
  • 5+ years of health actuarial experience
  • 2+ years of Medicaid managed care experience
  • Strong SQL skills

TECH STACK

  • No tech stack specified
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Role Summary

Loading...

HIGHLIGHTS

Manager-level health actuarial role supporting Medicaid value-based care for a pediatric provider in Texas. You will lead actuarial analyses including shared-savings calculations, monthly IBNR development, profitability and variance analysis, and present results to senior leadership and payer partners.

JOB DESCRIPTION SUMMARY

  • Lead actuarial team to measure value-based / shared savings arrangements
  • Develop and apply monthly IBNR and reserving estimates
  • Partner with claims analytics to report revenue, risk score, and utilization trends
  • Prepare analyses for shared savings settlement discussions with payers
  • Manager-level role focused on Medicaid managed care value-based programs

DOMAIN EXPERTISE

  • Health actuarial experience
  • Medicaid managed care experience
  • IBNR and reserving estimation
  • Value-based care/shared savings analysis
  • Strong SQL skills

KEY REQUIREMENTS

  • Associate or Fellow of the Society of Actuaries (ASA or FSA)
  • Bachelor’s degree
  • 5+ years of health actuarial experience
  • 2+ years of Medicaid managed care experience
  • Strong SQL skills

TECH STACK

  • No tech stack specified

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Job Overview

Salary
$140k - $170k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Manager-level health actuary (ASA/FSA) with 5+ years in health and at least 2 years Medicaid managed care experience who excels at IBNR/reserving, value-based/shared-savings analysis, and SQL-driven analytics.

ASAFSA

Benefits

Annual BonusHealth InsuranceDental InsuranceVision InsuranceHSA/FSA Available401(k) PlanHigh 401(k) MatchShort/Long Term DisabilityLife InsurancePaid Parental LeaveEquity/Stock OptionsGenerous Vacation
Active Screening
Standard Review
10d
10 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

Job Overview

Salary
$140k - $170k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Manager-level health actuary (ASA/FSA) with 5+ years in health and at least 2 years Medicaid managed care experience who excels at IBNR/reserving, value-based/shared-savings analysis, and SQL-driven analytics.

ASAFSA

Benefits

Annual BonusHealth InsuranceDental InsuranceVision InsuranceHSA/FSA Available401(k) PlanHigh 401(k) MatchShort/Long Term DisabilityLife InsurancePaid Parental LeaveEquity/Stock OptionsGenerous Vacation
Active Screening
Standard Review
10d
10 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

Health/Other/Manager Level
I

Manager, Actuarial Services

Imagine Pediatrics•Texas, United States•1w ago
MedicaidReserving & ValuationBusiness Intelligence & ReportingUW Support & Portfolio Management