Actuarial Manager, Valuation Health

Smith Hanley; New York (NY); Hybrid; USD 150,000 - 190,000; Full time

Job summary

Smith Hanley is seeking an Actuarial Manager focused on valuation in the Health sector. The role emphasizes healthcare actuarial and valuation expertise, IBNR management, and payer reconciliations, working closely with finance, operations, and executive leadership to ensure accurate risk-bearing contract valuation.

The ideal candidate will bring experience in Medicare Advantage, Medicaid, or value-based care, plus strong analytics capabilities using SQL, Excel, and BI tools.

Qualifications

• 5+ years of healthcare actuarial, valuation, or healthcare economics experience.
• Strong expertise in IBNR methodologies, financial reporting, and payer reconciliations.
• Experience within Medicare Advantage, Medicaid, or value-based care environments.
• Advanced proficiency with SQL, Excel, and BI/dashboarding tools.
• Proven ability to manage relationships with payer actuaries and finance leaders.
• ASA/FSA preferred with strong communication and executive presentation skills.

Responsibilities

• Actuarial manager responsible for valuation of risk-bearing contracts.
• Support financial close activities and reporting.
• Develop actionable performance insights and analytics.
• Lead AI-driven improvements in actuarial processes.
• Serve as liaison between finance, operations, leadership, and payer partners.

Skills

Healthcare actuarial experience

IBNR methodologies

Financial reporting

Payer reconciliations

Value-based care analytics

Executive communication

Payer actuaries relationships

Education

ASA/FSA preferred

Tools

SQL

Excel

BI dashboards

Job description

Position: Actuarial Manager, Valuation Health Location: Remote/Hybrid Compensation: Competitive Base + Bonus Actuarial Summary: Healthcare actuarial and valuation professional with expertise in financial reporting, IBNR reserving, payer reconciliations, and value-based care analytics. This role serves as a key liaison between finance, operations, executive leadership, and payer partners, ensuring accurate valuation of risk-bearing contracts and supporting financial close activities. Responsible for developing actionable performance insights, managing risk-share settlements, and enhancing actuarial processes through advanced analytics and AI-driven solutions. Ideal candidates bring strong healthcare economics experience, payer-facing expertise, and the ability to translate complex financial results into strategic business recommendations.

Key Skills & Requirements

• 5+ years of healthcare actuarial, valuation, or healthcare economics experience
• Strong expertise in IBNR methodologies, financial reporting, and payer reconciliations
• Experience within Medicare Advantage, Medicaid, or value-based care environments
• Advanced proficiency with SQL, Excel, and BI/dashboarding tools
• Proven ability to manage relationships with payer actuaries and finance leaders
• ASA/FSA preferred with strong communication and executive presentation skills