Manager, Actuarial Services
MedicaidReserving & ValuationBusiness Intelligence & ReportingProduct Development & Plan Design
Role Summary
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Manager-level health actuarial role focused on pediatric Medicaid value-based care. You will lead an actuarial team to develop IBNR estimates, calculate shared-savings/value-based care impacts, and present financial and clinical performance to payer partners and senior leadership in the United States.
JOB DESCRIPTION SUMMARY
- Lead an actuarial team to support pediatric Medicaid value-based care programs
- Develop and apply monthly IBNR estimates and assist with monthly close
- Produce shared savings calculations and prepare settlement analyses with payers
- Analyze profitability by duration, acuity, and resource allocation for leadership
- Strong SQL skills required; manager-level role with cross-functional partnering
DOMAIN EXPERTISE
- health actuarial experience
- Medicaid managed care
- IBNR estimation and application
- value-based care/shared savings analytics
- capitation rate negotiation
KEY REQUIREMENTS
- Associate or Fellow of the Society of Actuaries (ASA or FSA) required
- Minimum 5 years of health actuarial experience
- Minimum 2 years of Medicaid managed care experience
- Experience developing and applying IBNR estimates
- Strong SQL skills
TECH STACK
- No tech stack specified