Actuary, Valuation

Remote

Apply with AI Apply

Not SpecifiedCompensation

Entry Level & New Grad, Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Health TechnologyIndustries

Requirements

Candidates must possess at least 4 years of professional experience in a healthcare actuarial role, with a focus on reserving, medical economics, or financial modeling. They should be near completion or have recently attained the Associate of the Society of Actuaries (ASA) designation or an equivalent credential. Proficiency in SQL for querying complex datasets and advanced spreadsheet modeling skills for financial analysis and reporting are essential. A Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related quantitative field is required. Experience with Medicare value-based care models is a plus.

Responsibilities

The Actuary, Valuation will own and enhance the end-to-end monthly valuation process, including managing data sources, modeling benchmarks, setting IBNR reserves, and delivering timely results. They will manage and refine models for shared savings calculations and financial reconciliations, ensuring accuracy and transparency for physician partners. This role involves communicating actuarial findings and financial results to non-technical stakeholders, including executive leadership. The Actuary will also collaborate with Data Science, Finance, Operations, and Customer Success teams, and monitor regulatory changes affecting Medicare value-based care programs to ensure compliance and audit readiness.

Skills

Actuarial valuation

Financial modeling

Data analysis

Healthcare

Value-based care

Risk management

Pearl Health

Healthcare technology platform for providers

About Pearl Health

Pearl Health provides a platform designed to improve the efficiency and effectiveness of healthcare providers, including doctors and practice managers. The platform automates routine tasks, allowing providers to spend more time on patient care. It offers tools for tracking patient data and managing care teams, which helps providers gain transparency and credit for their work. Additionally, Pearl Health supports value-based care by enabling providers to monitor their performance through numerical data and graphs, helping them understand patient outcomes better. The platform also identifies at-risk patients, allowing for timely interventions. Pearl Health differentiates itself by focusing on technology that enhances care delivery and patient outcomes, while maintaining high customer satisfaction and retention. The company's goal is to empower healthcare providers to deliver better care through effective data management and support.

New York City, New YorkHeadquarters

2020Year Founded

$73MTotal Funding

DEBTCompany Stage

Enterprise Software, HealthcareIndustries

51-200Employees

Risks

Competition in value-based care threatens Pearl Health's market share.

Complex EHR integrations may lead to provider dissatisfaction.

Rapid expansion into 44 states may strain operational capabilities.

Differentiation

Pearl Health partners with Walgreens to enhance value-based primary care services.

The company integrates Vim's middleware for seamless EHR workflow enhancements.

Pearl Health's platform identifies at-risk patients for proactive care interventions.

Upsides

Partnerships with PraxisCare and Adaugeo expand access to value-based care.

Rising Medicare Advantage plans create opportunities for Pearl Health's solutions.

Increased telehealth adoption boosts demand for Pearl Health's integrated platform.

Land your dream remote job 3x faster with AI

Try Jobo Free