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Role Summary

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HIGHLIGHTS

Manager-level health actuarial role focused on pediatric Medicaid value-based care in the United States. You will lead actuarial services to calculate value-based savings, develop and apply IBNR estimates, support monthly close, and present financial and clinical results to senior leadership and payer partners. Requires ASAs or FSAs with Medicaid managed care experience.

JOB DESCRIPTION SUMMARY

  • Manage an actuarial team supporting pediatric Medicaid value-based care arrangements
  • Develop and apply monthly IBNR estimates and support monthly close processes
  • Calculate shared savings and prepare analyses for payer settlement discussions
  • Work with claims analytics to report revenue, risk score, and utilization trends
  • Manager-level role requiring 5+ years health actuarial experience and strong SQL

DOMAIN EXPERTISE

  • Health actuarial experience
  • Medicaid managed care experience
  • Value-based reimbursement and shared savings calculations
  • IBNR development and application
  • Negotiating Medicaid capitation rates

KEY REQUIREMENTS

  • Associate or Fellow of the Society of Actuaries (ASA or FSA)
  • Minimum 5 years of health actuarial experience
  • Minimum 2 years of Medicaid managed care experience
  • Experience with IBNR estimates and shared savings/capitation analyses
  • Strong SQL skills

TECH STACK

  • No tech stack specified
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Role Summary

Loading...

HIGHLIGHTS

Manager-level health actuarial role focused on pediatric Medicaid value-based care in the United States. You will lead actuarial services to calculate value-based savings, develop and apply IBNR estimates, support monthly close, and present financial and clinical results to senior leadership and payer partners. Requires ASAs or FSAs with Medicaid managed care experience.

JOB DESCRIPTION SUMMARY

  • Manage an actuarial team supporting pediatric Medicaid value-based care arrangements
  • Develop and apply monthly IBNR estimates and support monthly close processes
  • Calculate shared savings and prepare analyses for payer settlement discussions
  • Work with claims analytics to report revenue, risk score, and utilization trends
  • Manager-level role requiring 5+ years health actuarial experience and strong SQL

DOMAIN EXPERTISE

  • Health actuarial experience
  • Medicaid managed care experience
  • Value-based reimbursement and shared savings calculations
  • IBNR development and application
  • Negotiating Medicaid capitation rates

KEY REQUIREMENTS

  • Associate or Fellow of the Society of Actuaries (ASA or FSA)
  • Minimum 5 years of health actuarial experience
  • Minimum 2 years of Medicaid managed care experience
  • Experience with IBNR estimates and shared savings/capitation analyses
  • Strong SQL skills

TECH STACK

  • No tech stack specified

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Manager, Actuarial Services

Imagine Pediatrics•United States•1d ago
MedicaidReserving & ValuationPricing & RatingBusiness Intelligence & Reporting

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 Medicaid managed care, skilled in IBNR/reserving and SQL, experienced in value-based care analytics and payer negotiations.

ASAFSA

Benefits

Annual BonusHealth InsuranceDental InsuranceVision InsuranceHSA/FSA Available401(k) PlanHigh 401(k) MatchShort/Long Term DisabilityLife InsurancePaid Parental Leave
Fresh Role
Premium Window
1d
1 days ago

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
$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 Medicaid managed care, skilled in IBNR/reserving and SQL, experienced in value-based care analytics and payer negotiations.

ASAFSA

Benefits

Annual BonusHealth InsuranceDental InsuranceVision InsuranceHSA/FSA Available401(k) PlanHigh 401(k) MatchShort/Long Term DisabilityLife InsurancePaid Parental Leave
Fresh Role
Premium Window
1d
1 days ago

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."