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Full-Time

Director – Actuarial Services

Confirmed live in the last 24 hours

Imagine Pediatrics

Imagine Pediatrics

51-200 employees

24/7 virtual pediatric care and support

Senior

Remote in USA

Category
Insurance
Finance & Banking
Required Skills
SQL
Financial analysis
Data Analysis
Requirements
  • Associate or Fellow of the Society of Actuaries
  • Bachelor’s degree
  • Minimum of 8 years of health actuarial experience with significant experience in Medicaid products, experience with value-based reimbursement strategies and affordability initiatives preferred
  • Prior leadership experience with demonstrated ability to both lead and execute
  • Ability and willingness to train and transfer knowledge to junior level staff
  • Actuarial knowledge of best practices for evaluation, modeling (cost, risk score and revenue) and analytics
  • Strong SQL skills
  • Ability to work effectively 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
Responsibilities
  • Lead efforts in establishing value-based care targets (total cost of care, utilization, etc.).
  • Develop a process and internal capabilities to measure the performance of value-based / shared savings arrangements and communicate valuable insights to key stakeholders.
  • Oversee monthly development and application of IBNR estimates.
  • Apply your 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 (claims data analytics) team to demonstrate value our clients achieve with Imagine through the reporting of revenue / risk score trends, healthcare utilization trends, 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.
  • Prepare analyses for shared savings settlement discussions with payer partners.

Imagine Pediatrics offers 24/7 virtual pediatric care customized for children with medical complexity, providing unlimited access to care via messaging, phone call, or video visit, and coordinating with the child's existing care team. Their multidisciplinary team of pediatricians, nurses, social workers, and care coordinators delivers high-quality, virtual-first care and support, with services currently available in Texas and Florida.

Company Stage

Seed

Total Funding

$5M

Headquarters

Nashville, Tennessee

Founded

2022

Growth & Insights
Headcount

6 month growth

0%

1 year growth

1%

2 year growth

340%