Company: AHI agilon health, inc. Job Posting Location: Remote - USA Job Title: Actuarial Manager, Medicare Innovation Models Job Description: Position Summary: The Actuarial Manager, Medicare Innovation Models will lead a team of analyst(s) in preparing revenue projections and setting monthly reserve estimates for the ACO REACH and MSSP populations. He/she will remain aware of legislation changes impacting the ACO REACH and MSSP programs and will inform the annual budget/quarterly forecasts. The Actuarial Manager will help to educate market leaders on program nuances and drivers of prior period development. Additionally, he/she will support the build-out of improved models and processes for the actuarial team. Essential Job Functions: Lead and support a team of analyst(s) working on CMS value-based payment models Stay apprised of legislation changes impacting the ACO REACH and MSSP programs Share knowledge of these programs and educate market leaders on program mechanics Collaborate with Medicare Innovation Model strategic leadership Build out actuarial models for MSSP program evaluation Inform revenue projections and monthly reserve setting assumptions Identify drivers of trend and prior period development Join market level managers in presentation of close results to Market Finance Inform annual budget/quarterly forecasts Provide guidance on business development assumptions for new or existing markets and Medicare models Support build-out of improved actuarial team processes Review CMS final reconciliation reports Review internal/external audit documentation Other duties as assigned Other Job Functions: Grow and lead talent Exemplify companies’ core values Collaborate with Market Finance, FP&A, Accounting, Med Econ, and others Identifies critical issues and recommends solutions to business problems. Sets team objectives for assigned unit/area aligned with goals set by upper management Performs complex tasks typically following current established processes, while supporting the implementation of and adherence to new and/or evolved processes Required Qualifications: Minimum Experience 5 years of actuarial experience Demonstrated leadership capability, has previously led others Education/Licensure ASA or FSA designation Bachelor’s degree in Actuarial Science, Math, Economics or related field Knowledge, Skills, and Abilities: Excellent communication, both written and verbal Strong understanding of CMS payment models and the reconciliation process Understanding of CMS provided data (membership, claims, revenue) and reports Experience with reserving and forecasting Experience with value-based arrangements is a plus Proficiency with Excel and SQL Proven ability to work in a fast-paced environment where internal/external client satisfaction is key Experience presenting actuarial/financial concepts to a non-technical audience Proven problem solving skills (identification of issue, causes, solution, implementation plan) Proven ability to influence, grow, and motivate others Entrepreneurial and innovative spirit Location: Remote - TX Pay Range: $129,700.00 - $162,100.00 Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications. PASSION & PURPOSE The passion to change the way healthcare is delivered permeates everyone and everything at agilon health. Working together we can use our expertise to make a difference in the lives of patients and physicians alike. We can bring the joy back to practicing medicine for physicians and improve the care experience for patients across the country. Equal Opportunity Employer agilon health is committed to excellence through diversity. We are an equal opportunity employer and we will not discriminate against employees or qualified applicants for employment regardless of race; color; religion; genetic information; national origin; sex; pregnancy, childbirth, or related medical conditions; age; disability; citizenship status; uniform service member status; or any other protected class under federal, state, or local law. We strive to develop leaders and build future talent pools to help us meet the needs of our customers. If you need assistance or an accommodation due to a disability, you may email us at Talent.Acquisition@agilonhealth.com.