Actuarial Manager - Remote

Overview

At Diverge Health we are a team of entrepreneurs passionate about improving health access and outcomes for those most in need. We partner with primary care providers to improve the engagement and management of their Medicaid patients, providing independent practices access to specialized resources and clinical programs to address medical, social and behavioral patient needs. Our care ecosystem is equipped with enhanced technology and data interfaces to enable provider and patient success in a value-based environment. Guided by our core values of humility, continuous learning and feeling the weight, our team is on a mission to strengthen communities from within, unlocking people's ability to live their healthiest lives.

In Short

• Develop, refine, and maintain actuarial models to assess risk, forecast financial outcomes, and support strategic initiatives.
• Manage monthly processes for unpaid claims liability estimations, medical expense accruals and revenue accruals.
• Prepare and present detailed actuarial reports and financial forecasts to senior management and key stakeholders.
• Ensure compliance with regulatory requirements and industry standards.
• Collaborate with cross-functional teams to integrate actuarial insights into business strategies.
• Drive the development of new healthcare economics analysis techniques and tools.
• 5+ years of healthcare actuarial experience with Medicaid experience strongly preferred.
• Experience analyzing and managing payer claims data.
• Strong technical skills with proficiency in actuarial software and statistical tools.
• Bachelors degree in Actuarial Science, Mathematics, Statistics or a related field.

Requirements

• 5+ years of healthcare actuarial experience with Medicaid experience strongly preferred.
• Experience analyzing and managing payer claims data.
• A deep understanding of risk management and financial forecasting.
• Bachelors degree in Actuarial Science, Mathematics, Statistics or a related field.
• Strong technical skills with proficiency in actuarial software, statistical tools, and data management (e.g Excel, SQL, SAAS, Snowflake).

Benefits

• Opportunity to work in a mission-driven organization.
• Collaborative and innovative work environment.
• Professional development opportunities.
• Flexible work arrangements.
• Comprehensive benefits package.