Director Actuarial Services

Who We Are

We 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 By

We’re guided by our five core values:

• Children first. We put the best interests of children above all.
• Earn trust. We cherish the trusting relationships we build with the children and families we serve.
• Innovate today. We refuse to accept the way things have always been done.
• Embrace humanity. We lead with empathy and authenticity.
• One team, diverse perspectives. We work alongside families as one team towards a shared purpose.

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:

• 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.
• Oversee monthly development and application of IBNR estimates.
• Apply your knowledge of Medicaid reimbursement components and healthcare claims data.
• Partner with the Healthcare Economics team to demonstrate value our clients achieve.
• Analyze profitability by duration, acuity, and resource allocation.
• Work closely with other finance teams to monitor performance against forecasts.
• Prepare analyses for shared savings settlement discussions with payer partners.

About You

First 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:

• 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.
• 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, and analytics.
• Strong SQL skills.
• Ability to work effectively in a dynamic and fast-paced environment.
• Strong communicator with an ability to break down complex concepts.
• Strong organizational, documentation, and problem-solving skills.
• Strong business acumen and interpersonal skills.

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.