Pearl Health
Pearl Health
Pearl Health денсаулық сақтау, медициналық сақтандыру және SaaS салалары тоғысатын жерде жұмыс істеп, алғашқы медициналық-санитариялық көмек көрсетушілерге құндылыққа негізделген медициналық қызмет көрсету үлгілерін енгізуге көмектеседі. Оның Pearl Platform платформасы деректерге негізделген талдауларды, технологияны және практикалық қолдауды біріктіріп, медициналық көмек көрсету топтарына пациенттердің нәтижелерін жақсартуға, шығындарды басқаруға және күнделікті тәжірибе операцияларын нығайтуға жәрдемдеседі. Pearl Health медициналық қызмет көрсетушілердің ынталандыруларын сапалы нәтижелермен сәйкестендіру арқылы құндылыққа негізделген медициналық көмекті қолжетімді етуді, сондай-ақ медициналық ұйымдарға қаржылық тұрақтылығын арттырып, сапалырақ көмек көрсету нәтижесінде қалыптасқан үнемге қатысуға мүмкіндік беруді мақсат етеді.

Lead Actuary, Valuation | Pearl Health | Remote

Lead valuation and reserving for Pearl Health’s MSSP ACO portfolio, including financial reporting, settlement forecasting, and model ownership. Collaborate with engineering, data, operations, and customer success teams across the value-based care platform.

Сипаттама

  • Lead valuation and reserving for Pearl Health’s MSSP ACO portfolio from model development through financial close
  • Own the rebuild, maintenance, and ongoing development of the MSSP valuation model
  • Oversee monthly and quarterly financial close processes
  • Establish IBNR reserves and provide monthly results for financial reporting
  • Reconcile prior performance-year results with final CMS settlements
  • Develop forecasts for each new performance year as ACO partners are added
  • Define Pearl’s approach to interpreting MSSP data and work with Engineering to operationalize it
  • Collaborate with Operations, Customer Success, Engineering, and Data Science

Талаптар

  • At least six years of relevant actuarial experience
  • Deep knowledge of MSSP offerings
  • Bachelor’s degree in actuarial science, mathematics, statistics, or a related quantitative discipline
  • Advanced spreadsheet modeling and analytical skills using tools such as Excel or Google Sheets
  • Strong SQL-based data analysis capabilities
  • Python experience for data analysis and automation is preferred
  • Ability to communicate complex financial information clearly to non-technical stakeholders and executive leaders is preferred
  • Experience in an ACO or comparable environment is preferred
  • Demonstrated impact in a growing, fast-paced startup is preferred
  • ASA or FSA designation is preferred

Артықшылықтар

  • Discretionary performance bonus
  • Equity options
  • Competitive benefits package

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