Pearl Health activează la intersecția dintre serviciile medicale, asigurările de sănătate și software-ul ca serviciu, ajutând furnizorii de asistență medicală primară să adopte modele de îngrijire bazate pe valoare. Platforma Pearl combină informații bazate pe date, tehnologie și sprijin practic pentru a ajuta echipele de îngrijire să îmbunătățească rezultatele pacienților, să gestioneze costurile și să consolideze operațiunile de zi cu zi ale cabinetelor. Prin alinierea stimulentelor furnizorilor cu rezultatele de calitate, Pearl Health își propune să facă îngrijirea bazată pe valoare mai accesibilă, ajutând în același timp cabinetele să își consolideze stabilitatea financiară și să participe la economiile generate de îngrijirea de calitate superioară.
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.
Descriere
- 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
Cerințe
- 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
Beneficii
- Discretionary performance bonus
- Equity options
- Competitive benefits package