Actuarial Manager, ReservingWe are seeking an Actuarial Manager to support financial oversight and analytics for value-based care programs, with a primary focus on CKCC populations. This role will lead monthly financial reporting, support IBNR reserving, and partner cross-functionally to evaluate performance drivers and inform key business decisions. The ideal candidate combines strong technical actuarial skills with the ability to communicate insights clearly to senior leadership. We offer a competitive Actuarial Study Program designed to help you succeed, including exam fee support, study resources, and rewards for passing exams and achieving actuarial credentials.
Essential Functions- Lead actuarial support for monthly close (ME), including medical expense (MedEx), revenue, and savings analysis
- Develop and maintain standardized financial exhibits to explain period-over-period changes
- Partner with Finance to support booking decisions and ensure alignment with accounting
- Own development and refinement of IBNR models using claims data and completion factors
- Perform reserve analysis, including sensitivity testing and range development
- Enhance reserving methodologies to improve accuracy and reduce volatility
- Serve as a subject matter expert on CKCC financial performance, including benchmarks, risk score, and utilization trends
- Monitor and update key assumptions (trend, risk score, RTA, etc.)
- Support internal and external stakeholders with CKCC-related financial insights
- Analyze claims, eligibility, and financial data to identify key drivers of performance
- Partner with Data Ops and Engineering to improve data quality, timeliness, and accessibility
- Support automation initiatives (e.g., standardized datasets, dashboards, and tools such as Power BI or SQL-based solutions)
- Work closely with Finance, Partner Analytics, Risk Strategy, and Data teams
- Support ad hoc analyses for leadership, including CFO-level summaries and board materials
- Translate complex actuarial concepts into clear, actionable insights
Minimum Qualifications- Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related field
- 4+ years' experience in actuarial services or related experience
- Progress toward ASA/FSA (or equivalent experience) preferred
- Strong communication skills
- Strong proficiency in Excel
- 4+ years' experience with SQL and financial modeling capabilities
- Experience with healthcare data (claims, membership, value-based care) strongly preferred
- Experience with IBNR/reserving methodologies (e.g., completion factors, lag analysis)
- Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency
- Ability to travel and be on-site to meet business needs.
Preferred Qualifications- Familiarity with CKCC or similar value-based care models
- Experience with CMS shared savings programs
- Strong problem-solving skills and attention to detail
- Strong adaptability and capacity to work in fast-paced environments
- Excellent communication skills, especially for executive audiences
- Exceptional analytical and conceptual thinking skills
- Experience using Microsoft Power BI
Annual Salary Range: $99,000 - $149,000. This position is also eligible for a target annual bonus of 10%Final compensation will be determined based on location, experience, and qualifications.
