Remote

Part Qualified

Associate

Qualified

Senior Actuary

Life

Health

Reporting

Risk

Modelling

Imagine Pediatrics

Who We AreWe are Imagine Pediatrics, an innovative, tech-enabled, pediatrician-led medical group that helps children with special health care needs get the quality 24/7 care and support they deserve, right from home. Energized by our mission to reimagine pediatric health care together, we improve the health and lives of children with special health care needs by breaking down the barriers that stand between families and the quality care their children need.By partnering with parents, caregivers, providers, community resources, and health plans, we provide these children with more access to virtual-first and in-home medical, behavioral, and social care. We empower them and their families to get the unwavering, 24/7 support they deserve. We don’t replace a child's existing care team; instead, we work with them to give every patient an expanded layer of support by delivering unlimited, virtual-first and in-home care, day and night.Every day we boldly challenge old approaches and seek out new and better ways to improve the health and lives of children with special health care needs. 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.About the Role:As Manager, Actuarial Services, you will combine your management capabilities and actuarial expertise to lead an actuarial team to conduct and present analytics on several business-critical initiatives. This position will be instrumental in supporting a value-based care business model for the pediatric Medicaid population. Key projects will include value-based care savings calculations, monthly close processes, development and application of IBNR estimates, and reporting/presenting financial and clinical results drivers.Primary functions and responsibilities of this role will include but are not limited to:<ul><li>Manage and develop the processes and internal capabilities necessary to measure performance of value-based/shared savings arrangements and communicate valuable insights to key stakeholders.</li><li>Manage monthly development and application of IBNR estimates.</li><li>Partner with the Healthcare Economics (claims data analytics) team to demonstrate value our clients achieve through the reporting of revenue/risk score trends, healthcare utilization trends, and financial savings.</li><li>Analyze profitability by duration, acuity, and resource allocation to inform strategic recommendations to senior leadership.</li><li>Work closely with other finance teams to monitor performance against forecasts, analyzing and explaining drivers of variances from revenue, cost, and membership.</li><li>Prepare analyses for shared savings settlement discussions with payer partners.</li></ul>About YouFirst and foremost, you’re passionate and committed to creating the world our sickest children deserve. You want an active role in building a diverse and values-driven culture. Things change quickly in a start-up environment; you accept that and are willing and able to react quickly to time-sensitive needs of the business with agility and accuracy.In this role, you will need:<ul><li>Associate or Fellow of the Society of Actuaries</li><li>Bachelor’s degree</li><li>Minimum of 5 years of health actuarial experience, experience with value-based reimbursement strategies and affordability initiatives preferred</li><li>Prior leadership experience is preferred but not required</li><li>Ability and willingness to train and transfer knowledge to junior level staff</li><li>Actuarial knowledge of best practices for evaluation, modeling (cost, risk score and revenue), and analytics</li><li>Strong SQL skills</li><li>Ability to work effectively in a dynamic and fast-paced environment</li><li>Strong communicator (both written and verbal) with an ability to break down complex and technical concepts in an easy-to-understand way</li><li>Strong organizational, documentation, and problem-solving skills</li><li>Strong business acumen and interpersonal skills</li></ul>What We Offer (Benefits + Perks)The role offers a base salary range of $130,000 - $160,000 in addition to an annual bonus incentive, competitive company benefits package, and eligibility to participate in an employee equity purchase program. We provide these additional benefits and perks:<ul><li>Competitive medical, dental, and vision insurance</li><li>Healthcare and Dependent Care FSA; Company-funded HSA</li><li>401(k) with 4% match, vested 100% from day one</li><li>Employer-paid short and long-term disability</li><li>Life insurance at 1x annual salary</li><li>20 days PTO + 10 Company Holidays & 2 Floating Holidays</li><li>Paid new parent leave</li><li>Additional benefits to be detailed in offer</li></ul>What We Live ByWe’re guided by our five core values:<ul><li>Children first. We put the best interests of children above all. We are uncompromising in our commitment to improving the lives of children and families by bringing the best care to them.</li><li>Earn trust. We cherish the trusting relationships we build with the children and families we serve, our partners, and each other. We seek first to understand and speak honestly.</li><li>Innovate today. We refuse to accept the way things have always been done. Children and families are waiting for our help and their bravery demands that we relentlessly challenge assumptions to develop new approaches.</li><li>Embrace humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to learn and grow stronger.</li><li>One team, diverse perspectives. We work alongside families as one team towards a shared purpose. We champion diversity and acknowledge the contributions of others.</li></ul>We Value Diversity, Equity, Inclusion and BelongingWe 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.

Who We AreWe 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 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 a better approach to pediatric health care is within reach, and we are committed to seizing it today.What We Live ByWe’re guided by our five core values:<ul><li>Children first. We put the best interests of children above all.</li><li>Earn trust. We cherish the trusting relationships we build with the children and families we serve.</li><li>Innovate today. We refuse to accept the way things have always been done.</li><li>Embrace humanity. We lead with empathy and authenticity.</li><li>One team, diverse perspectives. We work alongside families as one team towards a shared purpose.</li></ul>About the Role:As Manager, Actuarial Services you will combine your leadership capabilities and actuarial expertise to lead an actuarial team to conduct and present analytics on several business-critical initiatives.This position will be instrumental in supporting a value-based care business model for the pediatric Medicaid population. Key projects will include value-based care savings calculations, monthly close processes, development and application of IBNR estimates, and reporting financial and clinical results drivers.Primary functions and responsibilities of this role will include but are not limited to:<ul><li>Develop a process and internal capabilities to measure the performance of value-based/shared savings arrangements.</li><li>Oversee monthly development and application of IBNR estimates.</li><li>Partner with the Healthcare Economics team to demonstrate value our clients achieve through reporting of revenue/risk score trends.</li><li>Analyze profitability by duration, acuity, and resource allocation to inform strategic recommendations to senior leadership.</li><li>Work closely with other finance teams to monitor performance against forecasts.</li><li>Prepare analyses for shared savings settlement discussions with payer partners.</li></ul>About YouFirst and foremost, you’re passionate and committed to creating the world our sickest children deserve. You want an active role in building a diverse and values-driven culture.In this role, you will need:<ul><li>Associate or Fellow of the Society of Actuaries</li><li>Bachelor’s degree</li><li>Minimum of 5 years of health actuarial experience, experience with value-based reimbursement strategies preferred</li><li>Prior leadership experience is preferred but not required</li><li>Ability and willingness to train and transfer knowledge to junior level staff</li><li>Actuarial knowledge of best practices for evaluation, modeling, and analytics</li><li>Strong SQL skills</li><li>Ability to work effectively in a dynamic and fast-paced environment</li><li>Strong communicator with an ability to break down complex concepts</li><li>Strong organizational, documentation, and problem-solving skills</li><li>Strong business acumen and interpersonal skills</li></ul>We Value Diversity, Equity, Inclusion and BelongingWe 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.

Who We AreWe 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 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.What We Live ByWe’re guided by our five core values:<ul><li>Children first. We put the best interests of children above all.</li><li>Earn trust. We cherish the trusting relationships we build with the children and families we serve.</li><li>Innovate today. We refuse to accept the way things have always been done.</li><li>Embrace humanity. We lead with empathy and authenticity.</li><li>One team, diverse perspectives. We work alongside families as one team towards a shared purpose.</li></ul>About the Role:As Director, Actuarial Services you will combine your leadership capabilities and actuarial expertise to lead an actuarial team to conduct and present analytics on several business-critical initiatives.This position will be instrumental in supporting a value-based care business model for the pediatric Medicaid population. Key projects will include value-based care target-setting, savings calculations, monthly close processes, development and application of IBNR estimates, and reporting financial and clinical results drivers.Primary functions and responsibilities of this role will include but are not limited to:<ul><li>Lead efforts in establishing value-based care targets (total cost of care, utilization, etc.).</li><li>Develop a process and internal capabilities to measure the performance of value-based/shared savings arrangements.</li><li>Oversee monthly development and application of IBNR estimates.</li><li>Apply your knowledge of Medicaid reimbursement components and healthcare claims data.</li><li>Partner with the Healthcare Economics team to demonstrate value our clients achieve.</li><li>Analyze profitability by duration, acuity, and resource allocation.</li><li>Work closely with other finance teams to monitor performance against forecasts.</li><li>Prepare analyses for shared savings settlement discussions with payer partners.</li></ul>About YouFirst and foremost, you’re passionate and committed to creating the world our sickest children deserve. You want an active role in building a diverse and values-driven culture.In this role, you will need:<ul><li>Associate or Fellow of the Society of Actuaries.</li><li>Bachelor’s degree.</li><li>Minimum of 8 years of health actuarial experience with significant experience in Medicaid products.</li><li>Prior leadership experience with demonstrated ability to both lead and execute.</li><li>Ability and willingness to train and transfer knowledge to junior level staff.</li><li>Actuarial knowledge of best practices for evaluation, modeling, and analytics.</li><li>Strong SQL skills.</li><li>Ability to work effectively in a dynamic and fast-paced environment.</li><li>Strong communicator with an ability to break down complex concepts.</li><li>Strong organizational, documentation, and problem-solving skills.</li><li>Strong business acumen and interpersonal skills.</li></ul>We Value Diversity, Equity, Inclusion and BelongingWe 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.

Who We AreWe 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 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 We Live ByWe’re guided by our five core values:<ul><li>Children first. We put the best interests of children above all.</li><li>Earn trust. We cherish the trusting relationships we build with the children and families we serve.</li><li>Innovate today. We refuse to accept the way things have always been done.</li><li>Embrace humanity. We lead with empathy and authenticity.</li><li>One team, diverse perspectives. We work alongside families as one team towards a shared purpose.</li></ul>What You’ll DoAs 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:<ul><li>Develop tools and internal capabilities to measure the performance of value-based / shared-savings arrangements.</li><li>Apply knowledge of Medicaid reimbursement components and healthcare claims data to assist with the development and ongoing execution of cost and revenue forecasting models.</li><li>Partner with the Healthcare Economics team to demonstrate value our clients achieve with Imagine.</li><li>Analyze profitability by duration, acuity, and resource allocation to inform strategic recommendations to senior leadership.</li><li>Work closely with other finance teams to monitor performance against forecasts.</li><li>Collaborate with the Business Development team to evaluate new business opportunities.</li></ul>What You Bring &amp; How You QualifyFirst and foremost, you’re passionate and committed to reimagining pediatric health care.<ul><li>Associate or working towards Associate of the Society of Actuaries with 3+ completed exams.</li><li>Bachelor’s degree.</li><li>Minimum of 2-4 years of actuarial experience within a healthcare, managed care, or consulting organization.</li><li>Medicaid experience preferred.</li><li>Experience with value-based reimbursement strategies preferred.</li><li>SQL and/or SAS skills.</li><li>Ability to work both independently and collaboratively in a dynamic environment.</li><li>Strong communicator with an ability to break down complex concepts.</li><li>Strong organizational, documentation, and problem-solving skills.</li><li>Strong business acumen and interpersonal skills.</li></ul>What We Offer (Benefits + Perks)The role offers a competitive base salary in addition to a competitive company benefits package.We provide these additional benefits and perks:<ul><li>Competitive medical, dental, and vision insurance.</li><li>Healthcare and Dependent Care FSA; Company-funded HSA.</li><li>401(k) with 4% match, vested 100% from day one.</li><li>Employer-paid short and long-term disability.</li><li>Life insurance at 1x annual salary.</li><li>20 days PTO + 10 Company Holidays &amp; 2 Floating Holidays.</li><li>Paid new parent leave.</li><li>Additional benefits to be detailed in offer.</li></ul>We Value Diversity, Equity, Inclusion and BelongingWe 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.

Who We AreWe 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 We Live By<ul><li>Children first. We put the best interests of children above all. We are uncompromising in our commitment to improving the lives of children and families by bringing the best care to them.</li><li>Earn trust. We cherish the trusting relationships we build with the children and families we serve, our partners, and each other. We seek first to understand and speak honestly.</li><li>Innovate today. We refuse to accept the way things have always been done. Children and families are waiting for our help and their bravery demands that we relentlessly challenge assumptions to develop new approaches.</li><li>Embrace humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to learn and grow stronger.</li><li>One team, diverse perspectives. We work alongside families as one team towards a shared purpose. We champion diversity and acknowledge the contributions of others.</li></ul>What You’ll DoAs 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:<ul><li>Develop tools and internal capabilities to measure the performance of value-based / shared-savings arrangements and communicate valuable insights to key stakeholders</li><li>Apply knowledge of Medicaid reimbursement components and healthcare claims data to assist with the development and ongoing execution of cost and revenue forecasting models</li><li>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</li><li>Analyze profitability by duration, acuity, and resource allocation to inform strategic recommendations to senior leadership</li><li>Work closely with other finance teams to monitor performance against forecasts, analyzing and explaining drivers of variances from revenue, cost, and membership</li><li>Collaborate with the Business Development team to evaluate new business opportunities</li></ul>What You Bring & How You QualifyFirst 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.<ul><li>Associate or working towards Associate of the Society of Actuaries with 3+ completed exams</li><li>Bachelor’s degree</li><li>Minimum of 2-4 years of actuarial experience within a healthcare, managed care, or consulting organization</li><li>Medicaid experience preferred</li><li>Experience with value-based reimbursement strategies and affordability initiatives preferred</li><li>SQL and/or SAS skills</li><li>Ability to work both independently and collaboratively in a dynamic and fast-paced environment</li><li>Strong communicator (both written and verbal) with an ability to break down complex and technical concepts in an easy to understand way</li><li>Strong organizational, documentation and problem-solving skills</li><li>Strong business acumen and interpersonal skills</li></ul>What We Offer (Benefits + Perks)<ul><li>Full medical, dental, and vision insurance</li><li>Healthcare and Dependent Care FSA</li><li>401(k) with 4% match, vested 100% from day one</li><li>20 days PTO + 10 Company Holidays & 2 Floating Holidays</li><li>Paid parental leave</li><li>Pet Insurance</li><li>Additional benefits to be detailed in offer</li></ul>We Value Diversity, Equity, Inclusion and BelongingWe 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.

Actuarial jobs at Imagine Pediatrics