Pearl Health
Pearl Health
Pearl Health sog‘liqni saqlash, tibbiy sug‘urta va SaaS yo‘nalishlari kesishgan nuqtada faoliyat yuritib, birlamchi tibbiy yordam ko‘rsatuvchilarga qiymatga asoslangan tibbiy xizmat modellarini joriy etishda yordam beradi. Uning Pearl Platform platformasi ma’lumotlarga asoslangan tahlillar, texnologiya va amaliy ko‘makni birlashtirib, tibbiy yordam jamoalariga bemorlar natijalarini yaxshilash, xarajatlarni boshqarish va kundalik amaliyot operatsiyalarini mustahkamlashda yordam beradi. Pearl Health tibbiy xizmat ko‘rsatuvchilarning rag‘batlarini sifatli natijalar bilan uyg‘unlashtirish orqali qiymatga asoslangan tibbiy yordamni yanada qulay qilishni, shuningdek, amaliyotlarga moliyaviy barqarorlikni kuchaytirish va yaxshiroq tibbiy yordam natijasida yuzaga keladigan tejamkorlikdan ulush olish imkonini berishni maqsad qiladi.

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.

Tavsif

  • 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

Talablar

  • 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

Imtiyozlar

  • Discretionary performance bonus
  • Equity options
  • Competitive benefits package

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