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Role Summary

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HIGHLIGHTS

Manager-level health actuarial role supporting Medicaid managed care for a pediatric value-based care provider in Texas. You will lead an actuarial team to produce IBNR estimates, value-based care savings calculations, and financial/clinical performance reporting. The role focuses on reserving, shared-savings settlement analysis, and partnering with claims analytics and finance.

JOB DESCRIPTION SUMMARY

  • Lead an actuarial team measuring performance of value-based/shared savings arrangements
  • Manage monthly development and application of IBNR estimates
  • Prepare shared savings settlement analyses and present to payer partners
  • Analyze profitability by duration, acuity, and resource allocation for leadership
  • Strong SQL skills required for claims and revenue/risk score analyses

DOMAIN EXPERTISE

  • Medicaid managed care experience
  • IBNR development and application
  • Value-based care and shared savings analytics
  • Cost, risk score, and revenue modeling
  • Experience with Medicaid capitation negotiations

KEY REQUIREMENTS

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

TECH STACK

  • No tech stack specified
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Role Summary

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HIGHLIGHTS

Manager-level health actuarial role supporting Medicaid managed care for a pediatric value-based care provider in Texas. You will lead an actuarial team to produce IBNR estimates, value-based care savings calculations, and financial/clinical performance reporting. The role focuses on reserving, shared-savings settlement analysis, and partnering with claims analytics and finance.

JOB DESCRIPTION SUMMARY

  • Lead an actuarial team measuring performance of value-based/shared savings arrangements
  • Manage monthly development and application of IBNR estimates
  • Prepare shared savings settlement analyses and present to payer partners
  • Analyze profitability by duration, acuity, and resource allocation for leadership
  • Strong SQL skills required for claims and revenue/risk score analyses

DOMAIN EXPERTISE

  • Medicaid managed care experience
  • IBNR development and application
  • Value-based care and shared savings analytics
  • Cost, risk score, and revenue modeling
  • Experience with Medicaid capitation negotiations

KEY REQUIREMENTS

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

TECH STACK

  • No tech stack specified
Health/Other/Manager Level
Imagine Pediatrics

Manager, Actuarial Services

Imagine Pediatrics•Texas, United States•3d ago
MedicaidReserving & ValuationBusiness Intelligence & ReportingExperience Studies

Job Overview

Salary
$150k - $180k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

A Manager-level health actuary (ASA/FSA) with 5+ years in health and at least 2 years in Medicaid managed care, strong SQL skills, and experience producing IBNR and value-based/shared-savings analytics.

ASAFSA

Benefits

Annual BonusEquity/Stock OptionsHealth InsuranceDental InsuranceVision InsuranceHSA/FSA Available401(k) PlanHigh 401(k) MatchShort/Long Term DisabilityPaid Parental Leave
Fresh Role
Premium Window
3d
3 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
$150k - $180k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

A Manager-level health actuary (ASA/FSA) with 5+ years in health and at least 2 years in Medicaid managed care, strong SQL skills, and experience producing IBNR and value-based/shared-savings analytics.

ASAFSA

Benefits

Annual BonusEquity/Stock OptionsHealth InsuranceDental InsuranceVision InsuranceHSA/FSA Available401(k) PlanHigh 401(k) MatchShort/Long Term DisabilityPaid Parental Leave
Fresh Role
Premium Window
3d
3 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."

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