Senior Actuary Analyst at Imagine Pediatrics

, , United States -

Full Time

Start Date

Immediate

Expiry Date

28 Jan, 26

Salary

110000.0

Posted On

30 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Actuarial Expertise, Forecasting Analyses, Patient Attribution Algorithms, Medicaid Reimbursement, Healthcare Claims Data, Cost And Revenue Forecasting, Healthcare Economics, Profitability Analysis, SQL, SAS, CMS T-MSIS Data, Critical Thinking, Problem Solving, Communication Skills, Organizational Skills, Business Acumen

Industry

Hospitals and Health Care

Description

Who We Are Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity. What You’ll Do 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 evaluating prospective business development opportunities, conducting forecasting analyses, supporting review of patient attribution algorithms, and assessing the financial and clinical value that Imagine Pediatrics delivers to its current and potential members and payor partners. 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 Collaborate with the Business Development team to evaluate new business opportunities Collaborate with Imagine Pediatrics’ clinical team to evaluate patient attribution algorithms 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 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. You will need: 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 strongly preferred Experience working with CMS T-MSIS data preferred Ability to work both independently and collaboratively in a dynamic and fast-paced environment Demonstrated ability to think critically and solve complex, varied problems in a dynamic 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 What We Offer (Benefits + Perks) The role offers a base salary range of $90,000 - $110,000 in addition to an annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary. We provide these additional benefits and perks: Competitive medical, dental, and vision insurance Healthcare and Dependent Care FSA; Company-funded HSA 401(k) with 4% match, vested 100% from day one Employer-paid short and long-term disability Life insurance at 1x annual salary 20 days PTO + 10 Company Holidays & 2 Floating Holidays Paid new parent leave Additional benefits to be detailed in offer What We Live By We’re guided by our five core values: Our Values: Children First. We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future. Earn Trust. We listen first, speak second. We build lasting relationships by creating shared understanding and consistently following through on our commitments. Innovate Today. We believe that small improvements lead to big impact. We stay curious by asking questions and leveraging new ideas to learn and scale. Embrace Humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to grow and understand how we can improve. One Team, Diverse Perspectives. We actively seek a range of viewpoints to achieve better outcomes. Even when we see things differently, we stay aligned on our shared mission and support one another to move forward — together. 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.

Responsibilities

As a Senior Actuarial Analyst, you will conduct and present analytics on business development opportunities, forecasting analyses, and patient attribution algorithms. You will also assess the financial and clinical value delivered to members and payor partners.