Senior Actuarial Analyst - Pediatric Health Economics (Town of Texas)

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

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.