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Senior Actuary Analyst

Imaginepediatrics
22 days ago
Full-time
Remote
Worldwide
Remote Finance

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 an 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

What You Bring & How You Qualify