Actuary, Valuation

Remote

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Candidates must possess a Bachelor's degree in a quantitative field and have 4+ years of experience in a healthcare Actuarial role, including experience with reserving, medical economics, or financial modeling. Preference is given to those with experience in value-based care or Medicare Advantage and who are near or have attained their Associate of the Society of Actuaries (ASA) designation or equivalent. High proficiency in SQL for data querying and analysis, along with advanced spreadsheet modeling skills, is required, and experience with Python for data analysis is a plus.

Responsibilities

The Actuary, Valuation will lead the end-to-end monthly valuation cycle, including managing data sources, modeling benchmarks, setting IBNR reserves, and delivering results. Responsibilities include managing and refining models for shared savings calculations and financial reconciliations, communicating actuarial findings and financial results to non-technical stakeholders, collaborating with cross-functional teams, and monitoring regulatory changes affecting Medicare value-based care programs to ensure compliance and audit readiness.

Skills

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.

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