Actuarial Analyst

at  Imagine Pediatrics

WHO WE ARE

We are Imagine Pediatrics, a devoted and compassionate, multi-disciplinary pediatrician-led medical group that is creating a world where every child with complex medical conditions gets the care and support they deserve. Energized by our mission to reimagine pediatric health care, we are pioneering virtual-first care services that include care coordination and around-the-clock access to complex-care clinicians from home. We don’t replace a child’s existing care team. Instead, we collaborate to deliver continuous support to kids, so they can spend less time in the hospital and more time thriving at home and in their communities.
Every day we boldly challenge old approaches and seek out new and better ways to improve the health and lives of children with medical complexity. In partnership with caregivers, providers, and health plans, we break down the barriers that stand between families and quality care for their children. We know we can’t solve every challenge in the lives of these kids, but we can work tirelessly to give them, their families, and other caregivers the help and relief they need, right when they need it. We know a better approach to pediatric health care is within reach, and we are committed to seizing it today.

WHAT YOU BRING & HOW YOU QUALIFY

First and foremost, you’re passionate and committed to reimagining pediatric health care and creating a world where every child with complex medical conditions gets the care and support they deserve.

• Associate or working towards Associate of the Society of Actuaries with 3+ completed exams
• Bachelor’s degree
• Minimum of 2-4 years of actuarial experience within a healthcare, managed care, or consulting organization
• Medicaid experience preferred
• Experience with value-based reimbursement strategies and affordability initiatives preferred
• SQL and/or SAS skills
• Ability to work both independently and collaboratively in a dynamic and fast-paced environment
• Strong communicator (both written and verbal) with an ability to break down complex and technical concepts in an easy to understand way
• Strong organizational, documentation and problem-solving skills
• Strong business acumen and interpersonal skills

WE VALUE DIVERSITY, EQUITY, INCLUSION AND BELONGING

We believe that creating a world where every child with complex medical conditions gets the care and support they deserve requires a diverse team with diverse perspectives. We’re proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law

As a Senior Actuarial Analyst at Imagine Pediatrics, you will leverage your actuarial expertise to conduct and present analytics on several fronts. Key projects will include forecasting, budgeting, and analyzing the financial and clinical value proposition that Imagine Pediatrics brings to its current and prospective member base and payor clients. Primary functions and responsibilities of this role will include:

• Develop tools and internal capabilities to measure the performance of value-based / shared-savings arrangements and communicate valuable insights to key stakeholders
• Apply knowledge of Medicaid reimbursement components and healthcare claims data to assist with the development and ongoing execution of cost and revenue forecasting models
• Partner with the Healthcare Economics team to demonstrate value our clients achieve with Imagine through the reporting of revenue / risk score trends, healthcare utilization trends, IBNR, and financial savings
• Analyze profitability by duration, acuity, and resource allocation to inform strategic recommendations to senior leadership
• Work closely with other finance teams to monitor performance against forecasts, analyzing and explaining drivers of variances from revenue, cost, and membership
• Collaborate with the Business Development team to evaluate new business opportunities